NPIMap

Organization Active NPI

John B, Fontana, III, DMD, Ms, LLC

  • Periodontics
  • Dover, DE
National Provider Identifier
1720420532
Registry record updated Jul 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
G1-0001312 Issued in DE
Legal business name
JOHN B, FONTANA, III, DMD, MS, LLC
Practice address
910 Walker Rd Ste a
Dover, DE 19904-2759
Phone
(302) 734-1950
Fax
(302) 734-4097
NPI assigned
Jul 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2013

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

Authorized official

Name
Dr. John Battista Fontana III, D.M.D., M.S.NPI 1336418151
Title
Manager
Phone
(302) 734-1950

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X G1-0001312 DE Primary

Addresses

Primary practice location

910 Walker Rd Ste a
Dover, DE 19904-2759

Mailing address

910 Walker Rd Ste a
Dover, DE 19904-2759
Phone (302) 734-1950

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374451200000",
    "number": "1720420532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 WALKER RD STE A",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199042759",
            "telephone_number": "302-734-1950",
            "fax_number": "302-734-4097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 WALKER RD STE A",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199042759",
            "telephone_number": "302-734-1950",
            "fax_number": "302-734-4097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN B, FONTANA, III, DMD, MS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-22",
        "last_updated": "2013-07-22",
        "status": "A",
        "authorized_official_last_name": "FONTANA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "BATTISTA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "302-734-1950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.M.D., M.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "DE",
            "license": "G1-0001312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; 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.