MEDICARE: DR. JENNIFER J FONTAINE D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	DN31439	FL
2	1223G0001X	General Practice Dentistry	12010668A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053422022
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER J FONTAINE D.D.S.

Provider Business Mailing Address
First Line	:	8918 LANTANA RD STE B
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-6136
Country	:	US
Telephone Number	:	561-801-1044
Fax Number	:	561-801-1044

Provider Business Practice Location Address
First Line	:	8918 LANTANA RD STE B
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-6136
Country	:	US
Telephone Number	:	561-801-1044
Fax Number	:	561-801-1044

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	05/06/2026

Similar Medicare Providers

1750700563 — PALMS DENTAL CARE PLLC
Practice Location Address:

8918 LANTANA RD STE B
LAKE WORTH, FL
33467-6136

Practice Phone: 772-341-2282
Practice Fax:

1578947610 — DR. CHRISTIAN MILANES DMD
Practice Location Address:

8918 LANTANA RD STE B
LAKE WORTH, FL
33467-6136

Practice Phone: 561-801-1044
Practice Fax:

1225611924 — CRYSTAL CHARMAINE RAMDEO DMD
Practice Location Address:

8918 LANTANA RD STE B
LAKE WORTH, FL
33467-6136

Practice Phone: 561-801-1044
Practice Fax:

1518624899 — BRUCE SCHULMAN DPM PA
Practice Location Address:

6136 OAK BLUFF WAY
LAKE WORTH, FL
33467-7136

Practice Phone: 561-434-1228
Practice Fax: 561-434-1228

1033166673 — DR. ANDRE ERICH CORREA M.D.
Practice Location Address:

2306 PARK ST
LAKE WORTH, FL
33460-6136

Practice Phone: 561-641-6067
Practice Fax:

1568608073 — CARMEN CRISTINA NEGRIN LMT
Practice Location Address:

2314 PARK ST
LAKE WORTH, FL
33460-6136

Practice Phone: 561-281-4440
Practice Fax:

Directions to “ DR. JENNIFER J FONTAINE D.D.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.