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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MADISON FANTIN, DDS

Active

DR. MADISON FANTIN, DDS is a Pediatric Dentistry healthcare provider located in WEST BLOOMFIELD, Michigan. NPI 1043805526 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · WEST BLOOMFIELD, MI

Registration Details

NPI Number
1043805526
Provider Type
Individual
Gender
Female
NPI Issued
Mar 5, 2021 (5.4083998242738 yrs)
Last Updated
Jul 13, 2022
License
2901601213 (MI)

Practice Information

Address
2300 HAGGERTY RD STE 1180
WEST BLOOMFIELD, MI, 483232188
Browse MI providers · Browse ZIP 48323
Phone
2487872037
Primary Specialty
Pediatric Dentistry
1223P0221X
Additional Specialty
Pediatric Dentistry

Other Pediatric Dentistry Providers in WEST BLOOMFIELD, MI

Name Credential NPI
DR. JEFFREY SAUL GOLDENBERG D.D.S. 1740232289
DR. JON ELLIOTT CABOT DDS, MS 1073607289
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.