Organization Active NPI

Ronald C Fontanesi DDS PC

  • Dentist
  • Bloomfield Hills, MI
National Provider Identifier
1447329230
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901009836 Issued in MI
Legal business name
RONALD C FONTANESI DDS PC
Practice address
6443 Inkster Rd
Suite 176
Bloomfield Hills, MI 48301-1303
Phone
(248) 855-4143
Fax
(248) 866-4143
NPI assigned
Nov 7, 2006
Last updated
Sep 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

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

Authorized official

Name
Dr. Ronald Charles Fontanesi, DDS
Title
President
Phone
(248) 855-4143

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901009836 MI Primary

Addresses

Primary practice location

6443 Inkster Rd
Suite 176
Bloomfield Hills, MI 48301-1303

Mailing address

6443 Inkster Rd
Suite 176
Bloomfield Hills, MI 48301-1303
Phone (248) 855-4143

Other identifiers 1

IdentifierTypeStateIssuer
2901009836OtherMIDENTAL LICENCE

National Provider Directory

National Provider Directory

Locations

6443 Inkster Rd
Ste 176
Bloomfield Hills, MI 48301
Phone (248) 855-4143

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1447329230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6443 INKSTER RD",
            "address_2": "SUITE 176",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483011303",
            "telephone_number": "248-855-4143",
            "fax_number": "248-866-4143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6443 INKSTER RD",
            "address_2": "SUITE 176",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483011303",
            "telephone_number": "248-855-4143",
            "fax_number": "248-866-4143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD C FONTANESI DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "FONTANESI",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-855-4143",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901009836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENCE",
            "identifier": "2901009836",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.