Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Madison Fantin, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1043805526

Dr. Madison Fantin, DDS is a Student in an Organized Health Care Education/Training Program in West Bloomfield, Michigan. Licensed in Michigan. Registered with an NPI since 2021.

Licensed in
MI
In the registry since
2021
Specialties on file
2
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

2300 Haggerty Rd Ste 1180
West Bloomfield, MI 48323-2188
Phone: (248) 787-2037
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 2901601213 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1043805526
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedMarch 5, 2021
Last updated in NPPESJuly 13, 2022
Certification dateJuly 13, 2022

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