Individual provider · Type 1 NPI
Paul Thomas Fortanasce, DMD
Pediatric Dentistry · Kennett Square, PA
NPI number
1639678907
Active
Practice location
400 Mcfarlan Rd Ste 200
Kennett Square, PA 19348-2477
Other practice locations
- 4401 Penn Ave, Pittsburgh, PA 15224-1334 · (516) 330-4354
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Pediatric Dentistry Primary | 1223P0221X | DS041759 (PA) |
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.
About NPI 1639678907
Paul Thomas Fortanasce, DMD's National Provider Identifier is 1639678907, issued on Feb 1, 2018. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Kennett Square, PA. The record was last updated on Nov 3, 2020.