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Contact Information

CAMILLO L FONTANA, DMD
1817 BLACK ROCK TURNPIKE
SUITE 205
FAIRFIELD, CT06825
 Phone: 203-333-4700
 Fax: 203-576-0842
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for CAMILLO L FONTANA · (Male)

NPI Number 1124038997
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 08/08/2006
Last updated 10/25/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 09834
  • FL License # 14299
  • FL License # DN14299
  • NY License # 50710
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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