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DR. MADISON FANTIN DDS
NPI 1043805526
Dentist - Pediatric Dentistry in West Bloomfield, MI

Active since March 05, 2021
2300 HAGGERTY RD STE 1180, WEST BLOOMFIELD, MI 48323(248) 787-2037 Get Directions Write a Review

NPPES record last updated: July 13, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 13, 2022, Mar 5, 2021 (2 updates tracked since 2021).

About Dr. Madison Fantin Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MADISON FANTIN DDS (NPI 1043805526) is an individual pediatric dentistry provider in West Bloomfield, Michigan, licensed in Michigan (2901601213) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1043805526
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. MADISON FANTINCredential: DDS
Location Address2300 HAGGERTY RD STE 1180West Bloomfield, MI 48323-2188
Mailing Address2300 Haggerty Rd Ste 1180West Bloomfield, MI 48323-2188 · (248) 787-2037
Phone(248) 787-2037
Sole ProprietorNo
Enumeration DateMarch 5, 2021
Last NPPES UpdateJuly 13, 20222 updates tracked since enumeration
NPPES CertifiedJuly 13, 2022
✔ NPI 1043805526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in MI · 2901601213
Definition
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2300 HAGGERTY RD STE 1180, West Bloomfield, MI 48323
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Madison Fantin's NPI number?

The NPI number for Madison Fantin is 1043805526. It was assigned to this individual provider in the NPPES registry on March 5, 2021.

Where is Madison Fantin located?

Madison Fantin practices at 2300 Haggerty Rd Ste 1180, West Bloomfield, MI 48323. The listed phone number is (248) 787-2037.

What is Madison Fantin's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Madison Fantin accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental of Michigan and Humana and 1 other insurer list Madison Fantin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Madison Fantin was last updated on July 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.