Philip Dominic Fantasia in Watertown - General Practice
Philip Dominic Fantasia - NPI 1871600023
Philip Dominic Fantasia is a General Practice in Watertown, Massachusetts. Philip Dominic Fantasia practices all healthcare services and medical treatments related to General Practice. The NPI Number for Philip Dominic Fantasia is 1871600023. The last update date is 2007-07-08.
Philip Dominic Fantasia's current location address is 293 Mount Auburn St, Watertown, Massachusetts. You can contact this provider via phone number 6179239446 and fax number 6179234250. The mailing address for Philip Dominic Fantasia is 293 Mount Auburn St, Watertown, Massachusetts. To know further, please read the information below!
Provider Profile Detail
Provider Name | Philip Dominic Fantasia |
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Address | 293 Mount Auburn St, Watertown, Massachusetts |
Phone Number | 6179239446 |
Fax Number | 6179234250 |
Sole Proprietor | N |
Credentials | DDS |
NPI Number Detail
NPI Number | 1871600023 |
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Provider Enumeration Date | 2006-08-24 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 293 Mount Auburn St |
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City | Watertown |
State | Massachusetts (MA) |
Post Code | 24721955 |
Phone Number | 6179239446 |
Fax Number | 6179234250 |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 1223G0001X |
Licence No | 11934 |
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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What is the unique 10-digit identification code issued to Philip Dominic Fantasia by the Centers for Medicare & Medicaid Services?
The Philip Dominic Fantasia has been assigned the NPI (National Provider Identifier) 1871600023 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Philip Dominic Fantasia located?
The Philip Dominic Fantasia is located at 293 Mount Auburn St, Watertown, MA 24721955.
What is the Philip Dominic Fantasia's area of specialization and corresponding taxonomy classification?
The Philip Dominic Fantasia's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
When did the Philip Dominic Fantasia receive its 1871600023?
The Philip Dominic Fantasia was issued its 1871600023 on 2006-08-24, which is the date when the organization was assigned this unique identifier.
When was the Philip Dominic Fantasia's information last updated?
The Philip Dominic Fantasia's information was last updated on 2007-07-08.