Individual provider · Type 1 NPI

Jennifer Fountain, DDS

Pediatric Dentistry · New York, NY

NPI number 1659692549 Active

Practice location

150 E 58th St, 8th Floor Annex
New York, NY 10155-0002

Call (212) 355-1003 Map

Fax (212) 355-1067

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X056073 (NY)

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.

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About NPI 1659692549

Jennifer Fountain, DDS's National Provider Identifier is 1659692549, issued on Jun 15, 2010. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in New York, NY. The record was last updated on Mar 2, 2014.