NPI 1376690313

John a Fontaine Dba Plaza Family Dental

Organisation General Practice Dentistry Fitchburg, MA

Practice location

Address: 435 Main St Suite 2000, Fitchburg, MA 01420-8026
Phone: (978) 343-8380

Authorised official

Name: John a Fontaine
Title: Owner
Phone: (978) 343-8380

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 12695 (MA)

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Registry record

NPI: 1376690313
Entity type: Organization
NPI issued: 4 Jan 2007
Record last updated: 16 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.