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DR. JEFFREY THEODORE FONDAK D.D.S.
NPI 1184730392
Dentist - Prosthodontics in Carthage, NY

Active since August 21, 2006
33054 STATE ROUTE 26, CARTHAGE, NY 13619(315) 493-2106 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jeffrey Theodore Fondak D.d.s. NPPES

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

DR. JEFFREY THEODORE FONDAK D.D.S. (NPI 1184730392) is an individual prosthodontics provider in Carthage, New York, licensed in New York (033273) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1184730392
Entity TypeIndividualMale
Primary Taxonomy1223P0700X
Provider Legal NameDR. JEFFREY THEODORE FONDAKCredential: D.D.S.
Location Address33054 STATE ROUTE 26Carthage, NY 13619-8600
Mailing Address33054 New York State Route #26Carthage, NY 13619-8600 · (315) 493-9393 · Fax (315) 493-9394
Phone(315) 493-2106
Sole ProprietorYes
Enumeration DateAugust 21, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1184730392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
License✔ Licensed in NY · 033273
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
33054 STATE ROUTE 26, Carthage, NY 13619
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Other Identifiers 2

Other033273NY · Dental License
Other1342155United Concordia Provider

Other Providers at the Same Location NPPES 3

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

DR. ANDREW NGUYEN D.D.S.
Dentist
33054 STATE ROUTE 26, A HAPPY SMILE DENTAL OFFICE, PC
CARTHAGE, NY 13619
Jefferson County (315) 493-9393
FONDAK DENTAL OFFICES, P.C.
Dentist (Prosthodontics)
33054 STATE ROUTE 26
CARTHAGE, NY 13619
Jefferson County (315) 493-9393
A HAPPY SMILE DENTAL OFFICE, PC
Dentist
33054 STATE ROUTE 26
CARTHAGE, NY 13619
Jefferson County (315) 493-9393

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 Jeffrey Fondak's NPI number?

The NPI number for Jeffrey Fondak is 1184730392. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Jeffrey Fondak located?

Jeffrey Fondak practices at 33054 State Route 26, Carthage, NY 13619. The listed phone number is (315) 493-2106.

What is Jeffrey Fondak's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

When was this NPI record last updated?

The NPPES record for Jeffrey Fondak was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.