Jeralyn Fantarella, D.M.D

NPI 1477755924 · on the registry since 2007 · sole proprietor

Practice

Address: 299 Washington Ave
Hamden, CT 06518
Phone: (203) 288-4855
Fax: (203) 288-9812
Organisation at this address: Children'S Medical Group, Llc
Jeralyn R. Fantarella, Dmd, P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 16

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: CT
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut