1. Home
  2. Directory
  3. Maryland
  4. Rosedale
  5. Dentist
  6. NPI Profile

CLETUS A FONMEDIG DDS LLC
NPI 1528807708
Dentist - General Practice in Rosedale, MD

Active since May 20, 2024
1709 CHESACO AVE, ROSEDALE, MD 21237(301) 437-7749 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cletus A Fonmedig Dds Llc NPPES

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

CLETUS A FONMEDIG DDS LLC (NPI 1528807708) is a healthcare organization registered as a general practice in Rosedale, Maryland and active in the NPI registry since May 2024. The organization lists Cletus Fonmedig, Member, as its authorized official.

NPPES Registry Identity

NPI1528807708
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCLETUS A FONMEDIG DDS LLC
Location Address1709 CHESACO AVERosedale, MD 21237-1518
Mailing Address1709 Chesaco AveRosedale, MD 21237-1518 · (410) 866-5550
Phone(301) 437-7749
Organization SubpartNo
Authorized OfficialCletus FonmedigMember · (301) 437-7749
Enumeration DateMay 20, 2024
NPPES CertifiedMay 20, 2024
✔ NPI 1528807708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
1709 CHESACO AVE, Rosedale, MD 21237
Open in Google Maps ↗

Other Names 1

Doing Business AsCletus A Fonmedig Dds Llc

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.

CLETUS FONMEDIG DDS
Dentist (General Practice)
1709 CHESACO AVE
ROSEDALE, MD 21237
Baltimore County (301) 437-7749
JOEL GOLDBERG DDS PA
Dentist
1709 CHESACO AVE
BALTIMORE, MD 21237
Baltimore County (410) 866-5550

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 Cletus A Fonmedig Dds LLC's NPI number?

The NPI number for Cletus A Fonmedig Dds LLC is 1528807708. It was assigned to this organization in the NPPES registry on May 20, 2024.

Where is Cletus A Fonmedig Dds LLC located?

Cletus A Fonmedig Dds LLC is located at 1709 Chesaco Ave, Rosedale, MD 21237. The listed phone number is (301) 437-7749.

What is Cletus A Fonmedig Dds LLC'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 Cletus A Fonmedig Dds LLC was last updated on May 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.