David M Fantarella, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8501 Issued in CT

Practice address

127 Washington Ave
2ND Floor East Building
North Haven, CT 06473-1715

Phone

(203) 239-1155

Fax

(203) 239-2255

NPI assigned

Jan 30, 2007

Sex

Male

Sole proprietor

Yes

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.

• Fantarella Dental Group

  • General Practice Dentistry
  • North Haven, CT
  • NPI 1588141972
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490832000000",
    "number": "1487790903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 WASHINGTON AVE",
            "address_2": "2ND FLOOR EAST BUILDING",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064731715",
            "telephone_number": "203-239-1155",
            "fax_number": "203-239-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 WASHINGTON AVE",
            "address_2": "2ND FLOOR EAST BUILDING",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064731715",
            "telephone_number": "203-239-1155",
            "fax_number": "203-239-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANTARELLA",
        "first_name": "DAVID",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2017-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "8501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Mary Faherty
• Stephen Falconieri, LPC,LADC
• Family Orthopaedics, LLC
• Family Practice & Internal Medicine, LLC
• Fantarella Dental Group
• Kyle Faugno
• Faulkner Physical Therapy Group
• Sara Faulkner, OTR
• Madeleine Fejos, LCSW
• Antoine M Ferneini, M.D.

• General Practice Dentistry in North Haven, CT
• Providers in North Haven, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; 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.