Individual
DR. JENNIFER J FONTAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
8918 LANTANA RD STE B, LAKE WORTH, FL 33467-6136
(561) 801-1044
(561) 801-1044
Mailing address
8918 LANTANA RD STE B, LAKE WORTH, FL 33467-6136
(561) 801-1044
(561) 801-1044
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN31439
FL
1223G0001X
General Practice Dentistry
12010668A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200524360
—
IN
Enumeration date
08/31/2006
Last updated
05/06/2026
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