Renee Fairmont, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

052839-1 Issued in NY

Practice address

5114 Lazy K TRL
Ballston Spa, NY 12020-2586

Phone

(917) 399-3559

NPI assigned

Mar 1, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1174651210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 KAYDEROSS PARK RD",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128668704",
            "telephone_number": "917-399-5474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5114 LAZY K TRL",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120202586",
            "telephone_number": "917-399-3559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIRMONT",
        "first_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN17802",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "052839-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Esposito, D.M.D.
• Eugene K. Merecki, MD PC (Malta Family Medicine)
• Bonita Lynn Euston, RN
• Kristen Evans
• Ronald L Faigin, D.M.D.
• Brian S. Farr, CASAC
• Cathleen M Favaro, OTR/L, CDP, CLT
• Amy Fealey, CLC
• Colleen Ferlo, R.N.
• Nicholas Xavier Ferranti, LMSW

• Dentist in Ballston Spa, NY
• Providers in Ballston Spa, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; 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.