Individual provider · NPI-1

Craig Fanti, DMD

Dentist, General Practice · Hopewell Junction, NY

NPI number1457514945
StatusActive
Last updated in NPPESJul 6, 2008

Details

NPI
1457514945
Entity type
Individual (NPI-1)
Name
Craig Fanti
Credential
DMD
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 6, 2008
Last updated
Jul 6, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice0422821NYYes

Practice location

46 Foster Rd
Suite 4
Hopewell Junction, NY 12533-6112

Phone 845-227-5826

Mailing address

46 Foster Rd
Suite 4
Hopewell Junction, NY 12533-6112

Phone 184-522-7582

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