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CARLOTTA FANTIN-YUSTA DDS
NPI 1164991600
Dentist - General Practice in Detroit, MI

Active since November 14, 2018
4646 JOHN R ST, DETROIT, MI 48201(313) 576-1000 Get Directions Write a Review

NPPES record last updated: December 3, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 3, 2019, Jul 10, 2019, Nov 14, 2018 (3 updates tracked since 2018).

About Carlotta Fantin-yusta Dds NPPES

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

CARLOTTA FANTIN-YUSTA DDS (NPI 1164991600) is an individual general practice provider in Detroit, Michigan, licensed in Florida (24041) and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1164991600
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameCARLOTTA FANTIN-YUSTACredential: DDS
Location Address4646 JOHN R STDetroit, MI 48201-1916
Mailing Address13803 Nw 21st LnGainesville, FL 32606-5348 · (248) 981-8634
Phone(313) 576-1000
Sole ProprietorNo
Enumeration DateNovember 14, 2018
Last NPPES UpdateDecember 3, 20193 updates tracked since enumeration
✔ NPI 1164991600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in FL · 24041
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4646 JOHN R ST, Detroit, MI 48201
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. YURIJ CHERSTYLO
Student in an Organized Health Care Education/Training Program
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000
NAVITHA LONAPPAN
Registered Nurse (Medical-Surgical)
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000
SHARI KABETH RN
Registered Nurse (Gastroenterology)
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000
DEREK CURTIS THAMARUS
Registered Nurse
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1294
MOLLY GEORGE
Registered Nurse
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1316
EDWIN RAYMOND MILLER
Registered Nurse
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000
MR. EDWIN INTIG LOON JR.
Licensed Practical Nurse
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000
ASHLEY NICOLE DANIELS MDIV
Religious Nonmedical Practitioner
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000

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 Carlotta Fantin-yusta's NPI number?

The NPI number for Carlotta Fantin-yusta is 1164991600. It was assigned to this individual provider in the NPPES registry on November 14, 2018.

Where is Carlotta Fantin-yusta located?

Carlotta Fantin-yusta practices at 4646 John R St, Detroit, MI 48201. The listed phone number is (313) 576-1000.

What is Carlotta Fantin-yusta's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Carlotta Fantin-yusta was last updated on December 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.