Fontana, John B
Fontana, John B is an individual health care provider with primary practice located at 1702 Lovering Ave , Wilmington DE 19806-2141. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Fontana, John B can be contacted via phone (302) 652-5312.Contact Information
Primary practice address
1702 Lovering Ave
Wilmington DE 19806-2141
Phone: (302) 652-5312
Fax: (302) 652-8679
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 861 | Delaware |
| Dental Providers / Dentist | 122300000X | 0861 | Delaware |
Profile Details
| NPI number | 1801927025 |
|---|---|
| LBN Legal business name | Fontana, John B |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2007 |
| Last updated | Jun 15th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801927025 | NPPES |
| Delaware | Other | 510342588 | TAX ID |
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