Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PHILIP DOMINIC FANTASIA JR., DDS
ActiveDR. PHILIP DOMINIC FANTASIA JR., DDS is a General Dentistry healthcare provider located in WATERTOWN, Massachusetts. NPI 1871600023 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · WATERTOWN, MA
Registration Details
- NPI Number
- 1871600023
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 24, 2006 (19.939429398024 yrs)
- Last Updated
- Jul 8, 2007
- License
-
11934 (MA)
Practice Information
- Address
-
293 MOUNT AUBURN STWATERTOWN, MA, 024721955Browse MA providers · Browse ZIP 02472
- Phone
- 6179239446
- Fax
- 6179234250
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in WATERTOWN, MA
| Name | Credential | NPI |
|---|---|---|
| DR. ROBERT CHARLES NAZAR | D.M.D | 1548294754 |
| EDWARD W DONLE | D.M.D. | 1912929001 |
| DR. JAMES WILLIAM TRIANT | DDS | 1548371594 |
| MR. DOMENIC DAMICO | DMD | 1225140494 |
| DR. WILLIAM V BYRNE | DMD | 1740386275 |
| DR. JOSEPH J SALUSTI | DMD | 1457431835 |
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.