National Provider Identifier

Camillo F Fontana, DDS

Camillo F Fontana, DDS is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Rochester, NY and a listed phone number of (585) 442-0990.

NPI 1720133275Rochester, NYGeneral Practice Dentistry

Profile Overview

NPI
1720133275
Provider Type
Individual
Primary Specialty
General Practice Dentistry
Enumeration Date
January 24, 2007
Last Updated
April 11, 2014

Practice Location

  • 1815 Clinton Ave South
  • Suite 640
  • Rochester, NY 14618

Phone: (585) 442-0990

Specialties

  • General Practice Dentistry (1223G0001X)
Full Record
NPI
1720133275
Entity Type
Individual
Last Name
Fontana
First Name
Camillo
Middle Name
F
Name Prefix
Dr.
Credential
DDS
Mailing Street Address
1815 Clinton Ave South
Mailing Address Line 2
Suite 640
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14618
Mailing Country
US
Mailing Phone
(585) 442-0990
Mailing Fax
(585) 442-7310
Practice Street Address
1815 Clinton Ave South
Practice Address Line 2
Suite 640
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14618
Practice Country
US
Practice Phone
(585) 442-0990
Practice Fax
(585) 442-7310
Enumeration Date
January 24, 2007
Last Updated
April 11, 2014
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
General Practice Dentistry (1223G0001X)
Other Identifiers
7646 (NY, Excellus Blue Cross Blue)