Camillo F Fontana, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

036471 Issued in NY

Practice address

1815 Clinton Ave South
Suite 640
Rochester, NY 14618

Phone

(585) 442-0990

Fax

(585) 442-7310

NPI assigned

Jan 24, 2007

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

Other identifiers 1

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.

• Grin Dental PC

  • Dentist
  • Rochester, NY
  • NPI 1437916061

  General Practice

  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397174400000",
    "number": "1720133275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 CLINTON AVE SOUTH",
            "address_2": "SUITE 640",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14618",
            "telephone_number": "585-442-0990",
            "fax_number": "585-442-7310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 CLINTON AVE SOUTH",
            "address_2": "SUITE 640",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14618",
            "telephone_number": "585-442-0990",
            "fax_number": "585-442-7310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTANA",
        "first_name": "CAMILLO",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2014-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "036471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS BLUE CROSS BLUE",
            "identifier": "7646",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria A Follaco
• Patti A Follansbee, PH.D., LMFT
• Ronald E. Follansbee Jr., LMSW
• Teresa Folts, NP
• Chin-to Fong, MD
• Joel B Fontanarosa, MD
• Fonte Surgical Supply, Inc
• Fonte Surgical Supply, Inc.
• Carrie Ryanne Fontenette, MS, CCC-SLP/L
• Cher Ying Foo

• General Practice Dentistry in Rochester, NY
• Providers in Rochester, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2014; 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.