Paul Thomas Fortanasce, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DS041759 Issued in PA

Practice address

400 McFarlan Rd Ste 200
Kennett Square, PA 19348-2477

Phone

(610) 925-5700

NPI assigned

Feb 1, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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.

• Chester County Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • West Chester, PA
  • NPI 1336685320
  NPD (past)

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

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1639678907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MCFARLAN RD STE 200",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193482477",
            "telephone_number": "516-330-4354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MCFARLAN RD STE 200",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193482477",
            "telephone_number": "610-925-5700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4401 Penn Ave",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152241334",
            "country_code": "US",
            "telephone_number": "516-330-4354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORTANASCE",
        "first_name": "PAUL",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-01",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS041759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dia Fleming
• Foot and Ankle Associates LLP
• Foot and Ankle Associates LLP
• Lois Foreman, COTA/L
• Kevin Gregory Forsell, PA-C
• Robin Fountain, PTA
• Duane Fowlkes
• Nicole Elizabeth Fragale, RD, LDN
• Wendy Lee Franciose, LPTA
• Clarence Christian Franck III, D.D.S.

• Pediatric Dentistry in Kennett Square, PA
• Providers in Kennett Square, PA by specialty
• Pediatric Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.