KHRISTY FONTILLAS


Address: 875 Massachusetts Ave, Suite 63, Cambridge, MA 02139-3067
Phone: 6178685500

KHRISTY FONTILLAS (NPI# 1871900100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871900100
Entity Type Individual
Full Name KHRISTY FONTILLAS
Credential DMD
Practice Address 875 Massachusetts Ave
Suite 63
Cambridge
MA 02139-3067
Practice Telephone 6178685500
Mailing Telephone 6178685500
Enumeration Date 2014-07-18
Last Update Date 2016-03-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
DN1856889 MA Dental Providers

Office Location

Street Address 875 MASSACHUSETTS AVE
SUITE 63
City CAMBRIDGE
State MA
Zip Code 02139-3067

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1679564108 Sanda Soe Aung Psychiatry & Neurology 875 Massachusetts Ave, 75, Cambridge, MA 02139-3067 2005-11-03
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1568831493 Russell L Forman, Dmd, PC Clinic/Center 875 Massachusetts Ave, Suite 63, Cambridge, MA 02139-3067 2015-09-22
1073948154 Silvia Dominguez Counselor 875 Massachusetts Ave, Cambridge, MA 02139-3067 2013-09-09
1316387020 Azimuth Psychological Psychologist 875 Massachusetts Ave, #21, Cambridge, MA 02139-3067 2013-06-26
1417392929 Valerie Blanc Counselor 875 Massachusetts Ave, Suite 2-5, Cambridge, MA 02139-3067 2013-05-10
1508109083 Shannon Kelly Social Worker 875 Massachusetts Ave, #61, Cambridge, MA 02139-3067 2013-04-03
1033453584 Highland Psychological Associates, LLC Psychologist 875 Massachusetts Ave, Suite 71, Cambridge, MA 02139-3067 2012-11-23
1356698450 Amy Lauren Mitchell Psychologist 875 Massachusetts Ave, Suite 61, Cambridge, MA 02139-3067 2012-08-07
1124385612 Tammy S Smith Counselor 875 Massachusetts Ave, 25, Cambridge, MA 02139-3067 2012-04-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598316044 Diane Greenleaf Registered Nurse Cha Windsor Clinic, 119 Windsor St, Cambridge, MA 02139 2019-09-26
1730738345 Martin Bednar Student in an Organized Health Care Education/Training Program 350 Massachusetts Avenue, Cambridge, MA 02139 2019-09-06
1861050049 Rebecca Marie Addison Dietitian, Registered 75 Auburn St, Cambridge, MA 02139 2019-06-03
1285103051 Jenna Halloran Social Worker 929 Massaschusetts Ave, Cambridge, MA 02139 2018-11-21
1750859286 Lisa Marie Keovongsa Dietitian, Registered 186 1/2 Hampshire St., Cambridge, MA 02139 2018-11-02
1245714237 Eleanor Coffin Occupational Therapist 1483 Cambridge St, Cambridge, MA 02139 2018-09-17
1649758277 Sariya Idriss Social Worker Cambridge Health Alliance, 1493 Cambridge St., Cambridge, MA 02139 2018-08-06
1538647151 Ari Pehkonen Social Worker Cambridge Health Alliance, Cambridge Hospital, 1493 Cambridge St., Cambridge, MA 02139 2018-08-06
1972080893 Esther Cazeau Counselor 237 Hampshire St., Cambridge, MA 02139 2018-07-24
1528596533 Adam Liebling Acupuncturist 11 Fiske Pl., Cambridge, MA 02139 2017-06-03
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy 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.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558968784 Francina Alvarez Noboa Dentist 700 Huron Ave Apt 15m, Cambridge, MA 02138-4590 2020-10-01
1487207239 George Duncan Georgiev Dentist 12 Holbrook Crescent, Cambridge, ONTARIO N1T 1V7 2019-07-22
1609435833 Jeffrey E. Greenberg, Dmd, P.C. Dentist 763 Massachusetts Ave Ste 1, Cambridge, MA 02139-3329 2019-06-11
1720646987 Lindsey White Dentist 40890 W. Hwy 6 & 34, Cambridge, NE 69022 2019-06-03
1619533304 Sarah Lamecker Dentist 110 Opportunity Blvd S Ste A, Cambridge, MN 55008-2222 2019-05-17
1700342268 Avalon Dental LLC Dentist 160 Cambridge St Unit H, Cambridge, MA 02141-1819 2019-02-20
1740637941 Lissa Cisneros Dentist 135 Opportunity Blvd S, Cambridge, MN 55008-1238 2016-05-17
1114292000 Two Rivers Family & Cosmetic Dentistry Dentist 90 S Superior, Cambridge, ID 83610 2012-03-12
1144503715 Jaime Lyn Klebig Dentist N4220 Woodcrest Ln., Cambridge, WI 53523 2011-09-21
1366771792 Archana Srinivasan Dentist 1 Court Ln, Unit 502, Cambridge, MD 21613-1883 2009-12-14
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Competitor

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City CAMBRIDGE
Zip Code 02139

Improve Information

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Dataset Information

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.

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