Walter D. Fonfara, DMD
General Dentistry · Plainfield, CT
UnclaimedDMDNPI 1104979285
- Primary taxonomy
- 1223G0001X
- Enumerated
- 2007-01-19
- Practice location
- Plainfield, CT
- Last NPPES update
- 2007-07-08
State licenses
- CT · Dentist · DentistExpiredthrough 2003
- CT · Dentist · DentistActivethrough 2027
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.