Fantin, Madison

Fantin, Madison is an individual health care provider with primary practice located at 2300 Haggerty Rd Ste 1180 , West Bloomfield MI 48323-2188. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Fantin, Madison can be contacted via phone (248) 787-2037.

Contact Information

Primary practice address
2300 Haggerty Rd Ste 1180 West Bloomfield MI 48323-2188
Phone: (248) 787-2037
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Pediatric Dentistry 1223P0221X 2901601213 Michigan

Profile Details

NPI number 1043805526
LBN Legal business name Fantin, Madison
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2021
Last updated Jul 13th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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