DR. NICHOLAS ANDRE FONTANA (NPI# 1891818191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891818191 |
| Entity Type | Individual |
| Full Name | DR. NICHOLAS ANDRE FONTANA |
| Credential | D.D.S. |
| Practice Address |
2877 Crooks Rd Suite A Troy MI 48084-4717 |
| Mailing Address |
2599 Summerlin Ct Suite A Rochester MI 48306-2290 |
| Practice Telephone | 2486506126 |
| Mailing Telephone | 2486506126 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2014-01-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
10219 | MI | Dental Providers |
| Street Address |
2877 CROOKS RD SUITE A |
| City | TROY |
| State | MI |
| Zip Code | 48084-4717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619968872 | Luana J Kyselka | Obstetrics & Gynecology | 2877 Crooks Rd, Ste D, Troy, MI 48084-4717 | 2005-11-04 |
| 1801081450 | Charlotte Liioi Hartzell, M.d., P.C. | Ophthalmology | 2877 Crooks Rd, Suite B, Troy, MI 48084-4717 | 2007-09-06 |
| 1245311869 | Rainbow Pediatrics PC | Pediatrics | 2877 Crooks Rd, Suite C, Troy, MI 48084-4717 | 2006-10-18 |
| 1518048115 | Linda R Bolton | Pediatrics | 2877 Crooks Rd, Suite C, Troy, MI 48084-4717 | 2006-10-18 |
| 1467533067 | Lili Levy | Pediatrics | 2877 Crooks Rd, Suite C, Troy, MI 48084-4717 | 2006-10-18 |
| 1659452274 | Laura Borschke | Pediatrics | 2877 Crooks Rd, Suite C, Troy, MI 48084-4717 | 2006-10-18 |
| 1851483283 | Joyce A Wolf | Pediatrics | 2877 Crooks Rd, Troy, MI 48084-4717 | 2006-09-30 |
| 1508889924 | Theodore Louis Degenhardt IIi | Dentist | 2877 Crooks Rd, Suite A, Troy, MI 48084-4717 | 2006-07-26 |
| 1497789473 | Somerset Ophthalmology PC | Ophthalmology | 2877 Crooks Rd, Suite B, Troy, MI 48084-4717 | 2006-07-10 |
| 1528044146 | Sue Lim | Ophthalmology | 2877 Crooks Rd, Ste B, Troy, MI 48084-4717 | 2005-12-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497360242 | Keely Erin Zuri | Physical Therapy Assistant | 3250 W. Big Beaver, Troy, MI 48084 | 2020-09-09 |
| 1841762473 | Hunter Thomas Michaels | Kinesiotherapist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-12-20 |
| 1265900864 | Michelle Denise Carter | Massage Therapist | 3250 West Big Beaver Suite 228, Troy, MI 48084 | 2018-11-13 |
| 1770083925 | Troy Daniel Burrell | Clinical Exercise Physiologist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-02-14 |
| 1174030175 | Alexander Scott | Kinesiotherapist | 3250 W. Big Beaver Rd., Troy, MI 48084 | 2017-12-29 |
| 1568977213 | Mallory Rose Valeri | Specialist/Technologist | 3250 W. Big Beaver Rd, Suite 228, Troy, MI 48084 | 2017-12-04 |
| 1710409651 | Eduardo Martin Pinto | Pharmacist | 3811 Coolidge Hwy, Troy, MI 48084 | 2017-07-12 |
| 1659891653 | Tricia Michelle Forgash | Recreation Therapist | 1998 Dorchester Dr. N 106, Troy, MI 48084 | 2017-06-21 |
| 1851759278 | Lauren Field | Counselor | 3290 W Big Beaver Rd Ste 188, Troy, MI 48084 | 2016-01-30 |
| 1265806939 | Tammy Scott-barney | Nurse Practitioner | 888 W Big Beaver Rd Ste 900, Troy, MI 48084 | 2015-11-18 |
| Find all providers in zip 48084 | ||||
| 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 |
|---|---|---|---|---|
| 1952924508 | Elizabeth Ann Francis | Dentist | 1930 Prime Ct Ste 101, Troy, OH 45373-8899 | 2020-05-18 |
| 1720621659 | Ao of Troy Pllc | Dentist | 363 W Big Beaver Rd Ste 225, Troy, MI 48084-5242 | 2019-10-23 |
| 1114481678 | Brown Dental Associates Pllc | Dentist | 2025 W Long Lake Rd Ste 110, Troy, MI 48098-4100 | 2019-01-29 |
| 1275008633 | Yan Liang | Dentist | 1355 Peachtree Dr, Troy, MI 48083-5345 | 2018-10-11 |
| 1629591441 | Dina Gianchandani | Dentist | 500 Federal St Ste 300, Troy, NY 12180-2832 | 2017-07-24 |
| 1467999664 | Shirin Fakhri D.d.s. P.C. | Dentist | 2885 E Long Lake Rd, Troy, MI 48085-4100 | 2017-01-25 |
| 1437601283 | Gateway Dental Group, LLC | Dentist | 606 Edwardsville Road, Troy, IL 62294 | 2016-10-27 |
| 1154720191 | Judith A. Purcell | Dentist | 721 Hoosick Road, Troy, NY 12180 | 2014-08-15 |
| 1194133439 | Krupa Patel | Dentist | 3970 Stone Haven Dr, Troy, MI 48084-1510 | 2014-07-30 |
| 1063713246 | Troy Family Dentistry, LLC | Dentist | 128 Professional Parkway, Troy, MO 63379 | 2010-11-04 |
| Find all providers in TROY | ||||
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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.