MEDICARE: FRANCISCO ERNESTO FONTE DDS

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	1223G0001X	General Practice Dentistry	DN 10746	FL

General Provider Information

NPI Number	:	1700060928
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCISCO ERNESTO FONTE DDS

Provider Business Mailing Address
First Line	:	11093 NW 138TH ST UNIT 118
Second Line	:
City	:	HIALEAH GARDENS
State	:	FL
Zip	:	33018-1191
Country	:	US
Telephone Number	:	786-600-4040
Fax Number	:	786-953-5174

Provider Business Practice Location Address
First Line	:	514 N STATE ROAD 7
Second Line	:
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-3523
Country	:	US
Telephone Number	:	561-296-6600
Fax Number	:	561-296-6601

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

Provider Enumeration Date	:	12/24/2007
Last Update Date	:	10/18/2021

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