Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Justine Paula Ippolito-Fata, DDS

Individual provider Dentist · NPI 1902980691

Dr. Justine Paula Ippolito-Fata, DDS is a Dentist in Flushing, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

131-72 40th Rd
Flushing, NY 11354
Phone: (718) 587-1111
Fax: (718) 886-3903
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 043215 (NY)

Record details

NPI number1902980691
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedOctober 25, 2006
Last updated in NPPESJuly 2, 2025
Certification dateJune 16, 2025

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