FONTANA FAMILY DENTISTRY (NPI# 1811059041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811059041 |
| Entity Type | Organization |
| Organization Name | FONTANA FAMILY DENTISTRY |
| Practice Address |
450 Mill St Ste 101 Fontana WI 53125-1242 |
| Practice Telephone | 2622758080 |
| Practice Fax Number | 2622755890 |
| Mailing Telephone | 2622758080 |
| Mailing Fax Number | 2622755890 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | GENIE KUBEL (CONTACT OFFICER) |
| Authorized Official Telephone | 9204500157 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
450 MILL ST STE 101 |
| City | FONTANA |
| State | WI |
| Zip Code | 53125-1242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760425375 | Village of Fontana-on-geneva Lake | Ambulance | 190 Fontana Boulevard, Fontana, WI 53125-1000 | 2006-06-13 |
| 1477085819 | Joyan Sanios | Developmental Therapist | 454 N Lakeshore Dr, Fontana, WI 53125-1118 | 2017-04-03 |
| 1275150591 | Michaela Kate Mccabe | Speech-Language Pathologist | W5381 Angels Ln, Fontana, WI 53125-1197 | 2020-07-02 |
| 1639352180 | Beautiful Me | Prosthetic/Orthotic Supplier | 531 Valley View Dr, Fontana, WI 53125-1198 | 2007-12-06 |
| 1912186479 | Joint School District 8 Fontana | Local Education Agency (LEA) | 450 S Main St, Fontana, WI 53125-1232 | 2007-10-31 |
| 1962807065 | Nicholas James Wilson | Chiropractor | 450 Mill St Ste 102, Fontana, WI 53125-1242 | 2014-10-31 |
| 1669531885 | Jeremy L Bria | Chiropractor | 450 Mill St, Suite 102, Fontana, WI 53125-1242 | 2006-12-06 |
| 1740675685 | Wilson Chiropractic LLC | Chiropractor | 450 Mill St, Fontana, WI 53125-1242 | 2015-03-30 |
| 1306045315 | Jlb,inc | Chiropractor | 450 Mill St, Suite 102, Fontana, WI 53125-1242 | 2007-07-11 |
| 1821151259 | David E Mccann | Dentist | 450 Mill St, Suite 101, Fontana, WI 53125-1242 | 2006-12-18 |
| Find all providers in zip 53125 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811462369 | Jo-ann De Jesus Africa Dds Inc | Dentist | 15375 Baseline Ave Ste 5, Fontana, CA 92336-5774 | 2018-10-11 |
| 1285137729 | Hoa Nguyen, Dmd, Inc | Dentist | 9190 Sierra Ave Ste 101, Fontana, CA 92335-8613 | 2018-03-12 |
| 1316469885 | Olga Leizerovitz | Dentist | 7426 Cherry Ave Ste 250, Fontana, CA 92336-4221 | 2017-07-16 |
| 1295275642 | Mikaela Benlulu | Dentist | 9193 Sierra Ave Ste A, Fontana, CA 92335-4776 | 2017-03-06 |
| 1982067229 | Youngkwun Kim Dds Inc | Dentist | 8110 Mango Ave Ste 101, Fontana, CA 92335-3603 | 2016-04-04 |
| 1053778241 | Maria Kim | Dentist | 16475 Sierra Lakes Pkwy, 140, Fontana, CA 92336-1259 | 2016-01-20 |
| 1104176817 | Mauricio Dossantos | Dentist | 11201 Sierra Ave Ste 1f, Fontana, CA 92337-7581 | 2012-09-11 |
| 1992079230 | Ivan V. Madzarevic | Dentist | 8990 Sierra Ave., #f, Fontana, CA 92335 | 2012-03-05 |
| 1770879439 | Daniel Wonil Hwang Dds,inc | Dentist | 17695 Arrow Blvd Ste J, Fontana, CA 92335-4041 | 2011-06-21 |
| 1487953949 | Maria Virginia Bravo-espinoza | Dentist | 16147 Foothill Blvd, A, Fontana, CA 92335-0000 | 2011-03-23 |
| Find all providers in FONTANA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.