Michael Fontenot, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

228634 Issued in MD

Practice address

2730 University Blvd W Ste 1010
Silver Spring, MD 20902-5902

Phone

(240) 752-8822

NPI assigned

Mar 26, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Smile Care 4 Children, LLC

  • Pediatric Dentistry
  • Silver Spring, MD
  • NPI 1649674599
  NPD (past)

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1306473590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1844 KENYON ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102619",
            "telephone_number": "318-680-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 UNIVERSITY BLVD W STE 1010",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209025902",
            "telephone_number": "240-752-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTENOT",
        "first_name": "MICHAEL",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-26",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "228634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cacilia Fonkem
• Mandop Marilyn Fonkeng
• Abigail Fontana
• Sylvia Lum Fontawa
• Juanita Fontenot
• Foot and Ankle Center at the Burkland Medical Center Inc.
• Foot and Ankle Specialists of the Mid-Atlantic LLC
• Foot and Ankle Specialists of the Mid-Atlantic, LLC
• Foot and Ankle Specialists of the Mid-Atlantic, LLC
• Foot and Ankle Specialists of the Mid-Atlantic, LLC

• Pediatric Dentistry in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Pediatric Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.