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

DR. ANITA C FOUNTAIN, DDS

Active

DR. ANITA C FOUNTAIN, DDS is a General Dentistry healthcare provider located in GOODYEAR, Arizona. NPI 1902834005 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · GOODYEAR, AZ

Registration Details

NPI Number
1902834005
Provider Type
Individual
Gender
Female
NPI Issued
Jun 28, 2006 (20.090590593933 yrs)
Last Updated
Nov 4, 2007
Licenses
D2179 (AZ)
2413-015 (WI)

Practice Information

Address
14122 W MCDOWELL RD
STE. 200
GOODYEAR, AZ, 853952503
Browse AZ providers · Browse ZIP 85395
Phone
6235362040
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
General Dentistry

Other General Dentistry Providers in GOODYEAR, AZ

Name Credential NPI
DR. LAM GIA NGO D.D.S. 1053316323
DR. LEE WILLIAM HARDING D.D.S. 1255396230
BRENT N. MARTINEAU 1215965918
DR. MAHSAN NAIMI YAZDI DDS 1942219555
JAY S. SUAVERDEZ DDS 1952498263
DR. JOSE RIVAS GONZALES DDS 1881774628
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.