Active NPI
Steven Andrew Fontana, D.M.D.
- Oral & Maxillofacial Surgery (D.M.D.)
- Wilmington, DE
National Provider Identifier
1427336304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- G1-0001346
- Practice address
- 1304 N Broom St
Wilmington, DE 19806-4266 - Phone
- (718) 920-5993
- NPI assigned
- Jul 27, 2011
- Last updated
- Dec 7, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | G1-0001346 | DE | Primary |
Addresses
Primary practice location
1304 N Broom St
Wilmington, DE 19806-4266
Mailing address
1304 N Broom St
Wilmington, DE 19806-4266
Phone (302) 655-6183
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G1-0001346 | DE | MD | Oral & Maxillofacial Surgery (D.M.D.) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amdent LTD | Current | Accepting new patients | |
| Amdent LTD. | Current | Accepting new patients | |
| Amdent LTD | Current | Accepting new patients |
Locations
2810 DeKalb Pike
East Norriton, PA 19401
Phone (610) 277-7374
620 Kenhorst Plz
Reading, PA 19607
Phone (610) 777-8888
1301 Penn Ave
Wyomissing, PA 19610
Phone (610) 372-3800
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449446400000",
"number": "1427336304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1304 N BROOM ST",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198064266",
"telephone_number": "302-655-6183",
"fax_number": "302-655-8635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1304 N BROOM ST",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198064266",
"telephone_number": "718-920-5993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONTANA",
"first_name": "STEVEN",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-27",
"last_updated": "2015-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "DE",
"license": "G1-0001346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.