Active NPIIndividual provider

Khristy Fontillas, DMD

Dentist, General Practice in Cambridge, Massachusetts

NPI Number1871900100
Practice location
875 Massachusetts Ave, Suite 63, Cambridge, MA 02139-3067
Fax
—
Last updated
March 13, 2016

Khristy Fontillas is a Dentist, General Practice based in Cambridge, MA. Khristy Fontillas practices in Cambridge, MA and has the professional credentials of DMD. The NPI Number for Khristy Fontillas is 1871900100 and holds a License No. DN1856889 (MA). The current practice location address for Khristy Fontillas is 875 Massachusetts Ave, Suite 63, Cambridge, MA 02139-3067 and can be reached out via phone at 617-868-5500.

Provider Profile Details

NPI Number
1871900100
Provider Name
Khristy Fontillas
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
875 Massachusetts Ave, Suite 63, Cambridge, MA 02139-3067
Phone Number
617-868-5500
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
July 18, 2014
Last Update Date
March 13, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
875 Massachusetts Ave
Suite 63
Cambridge, MA 02139-3067
Zip
02139-3067
Phone Number
617-868-5500
Cambridge, MA 02139Get directions →

Provider Business Mailing Address Details

Address
875 Massachusetts Ave
Suite 63
Cambridge, MA 02139-3067
City
Cambridge
State
MA
Zip
02139-3067
Phone Number
617-868-5500

License Information

License Number
DN1856889
License State
MA
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Khristy Fontillas, DMD?

The NPI number of Khristy Fontillas, DMD is 1871900100. It was assigned on July 18, 2014 and is currently active in the NPPES registry.

What is the specialty of Khristy Fontillas, DMD?

Khristy Fontillas, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number DN1856889.

Where does Khristy Fontillas, DMD practice?

The practice location is 875 Massachusetts Ave, Suite 63, Cambridge, MA 02139-3067. The office can be reached at 617-868-5500 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1871900100 directly on the NPPES registry website.

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