Jennifer J Fontaine in Portage - General Practice

Jennifer J Fontaine - NPI 1053422022

Jennifer J Fontaine is a General Practice in Portage, Indiana. Jennifer J Fontaine practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jennifer J Fontaine is 1053422022. The last update date is 2007-07-08.

Jennifer J Fontaine's current location address is Po Box 1430, Portage, Indiana. You can contact this provider via phone number 2197638112 and fax number 2197646348. The mailing address for Jennifer J Fontaine is Po Box 1430, Portage, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennifer J Fontaine
Address Po Box 1430, Portage, Indiana
Phone Number 2197638112
Fax Number 2197646348
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1053422022
Provider Enumeration Date 2006-08-31
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 1430
City Portage
State Indiana (IN)
Post Code 463689230
Phone Number 2197638112
Fax Number 2197646348

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 12010668A
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Jennifer J Fontaine

What is the unique identifier code issued to Jennifer J Fontaine by the Centers for Medicare & Medicaid Services (CMS)?

The Jennifer J Fontaine has been assigned the NPI (National Provider Identifier) 1053422022. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of Jennifer J Fontaine?

The Jennifer J Fontaine is physically situated at Po Box 1430, in the city of Portage, state of IN, with the postal code 463689230.

What is Jennifer J Fontaine's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Jennifer J Fontaine is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.

When did Jennifer J Fontaine receive its 1053422022 assignment?

The Jennifer J Fontaine was assigned its 1053422022 on 2006-08-31, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Jennifer J Fontaine last refreshed?

The information related to the Jennifer J Fontaine, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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