Individual provider · Type 1 NPI
Jeffrey Theodore Fondak, DDS
Prosthodontics · Carthage, NY
NPI number
1184730392
Active
Practice location
33054 State Route 26
Carthage, NY 13619-8600
Mailing address
33054 New York State Route #26
Carthage, NY 13619-8600
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthodontics Primary | 1223P0700X | 033273 (NY) |
Prosthodontics: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
3 other providers at this address
About NPI 1184730392
Jeffrey Theodore Fondak, DDS's National Provider Identifier is 1184730392, issued on Aug 21, 2006. The primary taxonomy on file is Prosthodontics (1223P0700X), and the practice location is in Carthage, NY. The record was last updated on Jul 8, 2007.