FONTAINE DENTAL GROUP
NPI 1558591123
Dentist in Saint John, IN

Q: What is Fontaine Dental Group's NPI number?

The NPI number for Fontaine Dental Group is 1558591123. It was assigned to this organization in the NPPES registry on July 17, 2009.

Q: What is Fontaine Dental Group's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since July 17, 2009

9301 WICKER AVE, SAINT JOHN, IN 46373(219) 365-7773(219) 365-8883 Get Directions Write a Review

NPPES record last updated: July 17, 2009. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Fontaine Dental Group NPPES

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

FONTAINE DENTAL GROUP (NPI 1558591123) is a healthcare organization registered as a dentist in Saint John, Indiana and active in the NPI registry since July 2009. The organization lists Jennifer Joy Fontaine, Dds, as its authorized official.

NPPES Registry Identity

NPI1558591123

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameFONTAINE DENTAL GROUP

Location Address9301 WICKER AVESaint John, IN 46373-9403

Mailing Address9301 Wicker AveSaint John, IN 46373-9403 · (219) 365-7773 · Fax (219) 365-8883

Phone(219) 365-7773

Fax(219) 365-8883

Organization SubpartNo

Authorized OfficialJennifer Joy FontaineDds · (219) 365-7773

Enumeration DateJuly 17, 2009

✔ NPI 1558591123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IN · 12010668

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

9301 WICKER AVE, Saint John, IN 46373

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Other Identifiers 1

Other12010668IN · License

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

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 Fontaine Dental Group's NPI number?

The NPI number for Fontaine Dental Group is 1558591123. It was assigned to this organization in the NPPES registry on July 17, 2009.

Where is Fontaine Dental Group located?

Fontaine Dental Group is located at 9301 Wicker Ave, Saint John, IN 46373. The listed phone number is (219) 365-7773.

What is Fontaine Dental Group's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Fontaine Dental Group was last updated on July 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.