Individual provider · Type 1 NPI
Madison Fantin, DDS
Pediatric Dentistry · West Bloomfield, MI
NPI number
1043805526
Active
Practice location
2300 Haggerty Rd Ste 1180
West Bloomfield, MI 48323-2188
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Pediatric Dentistry Primary | 1223P0221X | 2901601213 (MI) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Other pediatric dentistry providers in West Bloomfield
About NPI 1043805526
Madison Fantin, DDS's National Provider Identifier is 1043805526, issued on Mar 5, 2021. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in West Bloomfield, MI. The record was last updated on Jul 13, 2022.