Donald a Fantuzzo DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12010681A Issued in IN

Legal business name

DONALD A FANTUZZO DDS PC

Practice address

2196 W Sycamore St
Kokomo, IN 46901

Phone

(765) 457-8359

Fax

(765) 457-9310

NPI assigned

Sep 1, 2006

Organization subpart

No

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

Authorized official

Name

Donald Arden Fantuzzo, DDSNPI 1861594061

Title

Owner Dentist

Phone

(765) 457-8359

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Donald A Fantuzzo, DDS

  • General Practice Dentistry
  • Martinsville, IN
  • NPI 1861594061
  NPD (past) Authorized official

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740382928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2196 W SYCAMORE ST",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "46901",
            "telephone_number": "765-457-8359",
            "fax_number": "765-457-9310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2196 W SYCAMORE ST",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "46901",
            "telephone_number": "765-457-8359",
            "fax_number": "765-457-9310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD A FANTUZZO DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FANTUZZO",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "ARDEN",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "765-457-8359",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010681A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allyson Elaine Dinn, PHARMD
• Robert B Dinn, MD
• Christopher Michael Dipiro, M.D.
• Andrea Dobbins, OD
• Marsha Dodge
• Terry J Donovan, MA
• Jeffrey Doran, RBT
• Madison Grace Dormer
• Whitney Dotson, RBT
• Hannah Doubet

• General Practice Dentistry in Kokomo, IN
• Providers in Kokomo, IN by specialty
• General Practice Dentistry in Indiana

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