Richard Fountain, D.M.D

NPI 1770799934 · on the registry since 2007 · sole proprietor

Practice

Address: 105 Lake Hill Rd
Burnt Hills, NY 12027
Phone: (518) 399-4290
Fax: (518) 399-5807
Organisation at this address: Zuppa Physical Therapy Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Male
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 New York