NPIMap

Organization Active NPI

Fontes Lee PLLC

Doing business as Chantilly Pediatric Dentistry

  • Pediatric Dentistry
  • Chantilly, VA
National Provider Identifier
1154904837
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
FONTES LEE PLLC
Doing business as
Chantilly Pediatric Dentistry
Practice address
4229 Lafayette Center Dr Ste 1400
Chantilly, VA 20151-1267
Phone
(703) 378-2000
NPI assigned
Apr 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Attn: Fernanda G Fontes, DDS
Title
Pediatric Dentist
Phone
(734) 645-5820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

4229 Lafayette Center Dr Ste 1400
Chantilly, VA 20151-1267

Mailing address

4229 Lafayette Center Dr Ste 1400
Chantilly, VA 20151-1267
Phone (734) 645-5820

Other names 1

  • Chantilly Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

4229 Lafayette Center Dr
Ste 1400
Chantilly, VA 20151
Phone (703) 378-2000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619740800000",
    "number": "1154904837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4229 LAFAYETTE CENTER DR STE 1400",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511267",
            "telephone_number": "734-645-5820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4229 LAFAYETTE CENTER DR STE 1400",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511267",
            "telephone_number": "703-378-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FONTES LEE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-30",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A",
        "authorized_official_last_name": "FONTES",
        "authorized_official_first_name": "ATTN: FERNANDA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "734-645-5820",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chantilly Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chantilly, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.