DR. CAMILLO F FONTANA (NPI# 1720133275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720133275 |
| Entity Type | Individual |
| Full Name | DR. CAMILLO F FONTANA |
| Credential | DDS |
| Practice Address |
1815 Clinton Ave South Suite 640 Rochester NY 14618 |
| Practice Telephone | 5854420990 |
| Practice Fax Number | 5854427310 |
| Mailing Telephone | 5854420990 |
| Mailing Fax Number | 5854427310 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2014-04-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
036471 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | EXCELLUS BLUE CROSS BLUE | 7646 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124038997 | Camillo L Fontana | Dentist | 1817 Black Rock Turnpike, Suite 205, Fairfield, CT 06825 | 2006-08-08 |
| Street Address |
1815 CLINTON AVE SOUTH SUITE 640 |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962056499 | Zahavi Dental of Rochester | Dentist | 1815 S. Clinton Ave, 510, Rocheter, NY 14618 | 2019-08-01 |
| 1760047278 | Inner Power Physical Therapy Pllc | Clinic/Center | 2561 Lac Deville Boulevard, Suite 100, Rochester, NY 14618 | 2019-05-09 |
| 1659859858 | Steven Sanfilippo | Counselor | 2000 S. Winton Rd., Building 4, Suite 303, Rochester, NY 14618 | 2018-07-31 |
| 1578064853 | Feet First Inc | Durable Medical Equipment & Medical Supplies | 1900 Clinton Ave S Ste 5, Rochester, NY 14618 | 2018-02-22 |
| 1558805374 | Jennifer Virella | Social Worker | 2000 South Winton Road, Bldg 2, Rochester, NY 14618 | 2016-12-13 |
| 1235589300 | Andrew Cyrus Marcy | Nurse Practitioner | 95 Allens Creek Road Bld 1 Ste 306, Rochester, NY 14618 | 2016-06-20 |
| 1932561073 | Legacy Pediatrics | Pediatrics | 1815 South Clinton Avenue Ste 360, Rochester, NY 14618 | 2016-03-28 |
| 1790143105 | Marie Lynn Bieber | Dietitian, Registered | 919 Winton Rd S Ste 220, Rochester, NY 14618 | 2016-02-01 |
| 1720443096 | Brittany Rose Masetta | Marriage & Family Therapist | 2000 S Winton Rd, Bldg 4, Suite #200, Rochester, NY 14618 | 2015-12-30 |
| 1437543097 | Kathleen Skye Kemp | Internal Medicine | 2400 S Clinton Ave Ste G2, Rochester, NY 14618 | 2015-03-22 |
| Find all providers in zip 14618 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760091763 | Erie Canal Dental Pllc | Dentist | 91 Erie Canal Dr Ste A, Rochester, NY 14626-4603 | 2020-07-26 |
| 1891303962 | Bryson Sloan Rushing | Dentist | 18 3rd St Sw Ste 300, Rochester, MN 55902-3022 | 2020-07-15 |
| 1033777636 | Mindy D Dogmanits | Dentist | 1300 Jefferson Rd Ste 300, Rochester, NY 14623-3195 | 2019-05-30 |
| 1447814553 | Gilbert Frank Hernandez | Dentist | 1299 Portland Ave Ste 4, Rochester, NY 14621-2727 | 2019-04-24 |
| 1669935920 | Michael Delucia | Dentist | 2105 Dewey Ave, Rochester, NY 14615-2207 | 2019-04-12 |
| 1912460189 | Vincenzo Giuseppe Marino | Dentist | 550 Latona Rd Ste B100, Rochester, NY 14626-2723 | 2019-04-12 |
| 1699255307 | Urgent Dental Care, Pllc | Dentist | 1740 Culver Rd Lowr Suite, Rochester, NY 14609-3836 | 2018-08-21 |
| 1811488737 | Anthony Richard Mesolella | Dentist | 2081 W Ridge Rd Ste 204, Rochester, NY 14626 | 2018-05-26 |
| 1235637141 | Cornerstone Dental of Henrietta | Dentist | 2104 E. Henrietta Road, Rochester, NY 14623 | 2018-01-25 |
| 1710415039 | Abner O De Los Santos | Dentist | 120 Erie Canal Dr Ste 150, Rochester, NY 14626 | 2017-05-31 |
| Find all providers in ROCHESTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.