John B Fontana Jr., D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

0861 Issued in DE

Practice address

1702 Lovering Ave
Wilmington, DE 19806-2141

Phone

(302) 652-5312

Fax

(302) 652-8679

NPI assigned

Mar 8, 2007

Last updated

Jun 15, 2021By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• First State Dental P.a.

  • General Practice Dentistry
  • Wilmington, DE
  • NPI 1235261322
  NPD

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1801927025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 LOVERING AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198062141",
            "telephone_number": "302-652-5312",
            "fax_number": "302-652-8679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 LOVERING AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198062141",
            "telephone_number": "302-652-5312",
            "fax_number": "302-652-8679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTANA",
        "first_name": "JOHN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DE",
            "license": "861",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DE",
            "license": "0861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "510342588",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Foltz, MA, BCBA
• Eveline Fondong
• Gina Marie Fong, MD
• Kelvin Fong, MD
• Tanner Fonjweng
• Steven Andrew Fontana, D.M.D.
• Richard Fontanet Jr., CCC-SLP
• Food Health Collective Inc (Ahara)
• Teisha Larsen Fooks, LCSW
• Foot and Ankle Associates LLP

• Dentist in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Dentist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.