Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEFFREY THEODORE FONDAK, D.D.S.
Active Sole ProprietorDR. JEFFREY THEODORE FONDAK, D.D.S. is a Pediatric Dentistry healthcare provider located in CARTHAGE, New York. NPI 1184730392 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · CARTHAGE, NY
Registration Details
- NPI Number
- 1184730392
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 21, 2006 (20.02657535237 yrs)
- Last Updated
- Jul 8, 2007
- License
-
033273 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
33054 STATE ROUTE 26CARTHAGE, NY, 136198600Browse NY providers · Browse ZIP 13619
- Phone
- 3154932106
- Primary Specialty
-
Pediatric Dentistry
1223P0700X
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.