Active NPI
Melanie Jane Fatone, D.M.D.
- Pediatric Dentistry
- Norwich, CT
National Provider Identifier
1184613820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 8112
- Practice address
- 531 W Main St
Norwich, CT 06360-5316 - Phone
- (860) 886-5576
- NPI assigned
- Oct 16, 2005
- Last updated
- Jul 13, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 8112 | CT | Primary |
Addresses
Primary practice location
531 W Main St
Norwich, CT 06360-5316
Mailing address
110 Buckley Rd
Salem, CT 06420-3742
Phone (860) 889-4933
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1184613820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 BUCKLEY RD",
"city": "SALEM",
"state": "CT",
"postal_code": "064203742",
"telephone_number": "860-889-4933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "531 W MAIN ST",
"city": "NORWICH",
"state": "CT",
"postal_code": "063605316",
"telephone_number": "860-886-5576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FATONE",
"first_name": "MELANIE",
"middle_name": "JANE",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-16",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CT",
"license": "8112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.