Dr. Jeffrey Theodore Fondak is a Carthage, New York based Prosthodontics who is specialized in
Prosthetic Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Jeffrey Theodore Fondak is
033273 for Prosthetic Dentistry in New York. His current practice location is
33054 State Route 26, Carthage. Patients can reach him at
315-493-2106.
Dr. Jeffrey Theodore Fondak specialized in that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
Complete Profile:
Dr. Jeffrey Theodore Fondak speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Jeffrey Theodore Fondak |
| Specialization: | Prosthodontics |
| Gender: | Male |
| Credentials: | D.D.S. |
| Accepts Medicare Assignment: | No |
| Practice Address: | 33054 State Route 26, Carthage,
New York, 13619-8600 |
| Phone: | 315-493-2106 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1184730392 |
| NPI Enumeration Date: | 21 Aug, 2006 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jeffrey Theodore Fondak are as mentioned below.
| License Number | Specialization | State | Status | |
| 033273 | Prosthetic Dentistry | New York | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Jeffrey Theodore Fondak such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 033273 | Other | New York | DENTAL LICENSE |
| 1342155 | Other | | UNITED CONCORDIA PROVIDER |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 33054 New York State Route #26,
Carthage, New York |
| Zip: | 13619-8600 |
| Phone Number: | 315-493-9393 |
| Fax Number: | 315-493-9394 |
Patients can reach Dr. Jeffrey Theodore Fondak at
33054 State Route 26, Carthage, New York or can
call to book an appointment on 315-493-2106.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.