1. Home
  2. Directory
  3. Massachusetts
  4. Watertown
  5. Dentist
  6. NPI Profile

PHILIP D FANTASIA JR DDS
NPI 1518151760
Dentist - General Practice in Watertown, MA

Active since August 30, 2007
293 MOUNT AUBURN ST, WATERTOWN, MA 02472(617) 923-9446(617) 923-4750 Get Directions Write a Review

NPPES record last updated: August 30, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Philip D Fantasia Jr Dds NPPES

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

PHILIP D FANTASIA JR DDS (NPI 1518151760) is a healthcare organization registered as a general practice in Watertown, Massachusetts and active in the NPI registry since August 2007. The organization lists Philip Domenic Fantasia, Dentist, as its authorized official.

NPPES Registry Identity

NPI1518151760
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePHILIP D FANTASIA JR DDS
Location Address293 MOUNT AUBURN STWatertown, MA 02472-1955
Mailing Address293 Mount Auburn StWatertown, MA 02472-1955 · (617) 923-9446 · Fax (617) 923-4750
Phone(617) 923-9446
Fax(617) 923-4750
Organization SubpartNo
Authorized OfficialPhilip Domenic FantasiaDentist · (617) 923-9446
Enumeration DateAugust 30, 2007
✔ NPI 1518151760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MA · 11934
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.
293 MOUNT AUBURN ST, Watertown, MA 02472
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

FANTASIA, FAILLA, AND DEFRANCESCO FAMILY DENTISTRY
Dentist (General Practice)
293 MOUNT AUBURN ST
WATERTOWN, MA 02472
Middlesex County (617) 923-9446
DR. PHILIP DOMINIC FANTASIA JR. DDS
Dentist (General Practice)
293 MOUNT AUBURN ST
WATERTOWN, MA 02472
Middlesex County (617) 923-9446

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 Philip D Fantasia Jr Dds's NPI number?

The NPI number for Philip D Fantasia Jr Dds is 1518151760. It was assigned to this organization in the NPPES registry on August 30, 2007.

Where is Philip D Fantasia Jr Dds located?

Philip D Fantasia Jr Dds is located at 293 Mount Auburn St, Watertown, MA 02472. The listed phone number is (617) 923-9446.

What is Philip D Fantasia Jr Dds'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 Philip D Fantasia Jr Dds was last updated on August 30, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.