Matthew R. Fantasia, D.M.D., P.C.

LBN: Matthew R. Fantasia, D.M.D., P.C.
Matthew R. Fantasia, D.M.D., P.C. is an health care organization with primary practice located at 372 Washington St , Wellesley MA 02481-6202. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Prosthodontics. Dental Providers / General Practice is the primary health care specialty. Matthew R. Fantasia, D.M.D., P.C. can be contacted via phone (781) 235-1146, or through Fantasia, Matthew R. via phone (781) 235-1146.

Contact Information

Primary practice address
372 Washington St Wellesley MA 02481-6202
Phone: (781) 235-1146
Fax: (781) 235-9195
Website:
Map and Directions
Authorized official contact:
Name: Fantasia, Matthew R. Doctor of Dental Medicine (DMD)
Phone: (781) 235-1146

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN 20441 Massachusetts
Dental Providers / Prosthodontics 1223P0700X DN 14506 Massachusetts

Profile Details

NPI number 1386995397
LBN Legal business name Matthew R. Fantasia, D.M.D., P.C.
DBA Doing business as
Authorized official Fantasia, Matthew R. Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 1st, 2012
Last updated Oct 15th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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