| Deana Fugate Dmd Pc | |
|
1213 W Lincoln Ave Goshen IN 46526-2130 | |
| (574) 533-6911 | |
| Not Available |
| Full Name | Deana Fugate Dmd Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1213 W Lincoln Ave, Goshen, Indiana |
| Authorized Official Name and Position | Deana Fugate (OWNER/DENTIST) |
| Authorized Official Contact | 8652085147 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deana Fugate Dmd Pc 55623 Little Creek Ln Middlebury IN 46540-8677 Ph: (865) 208-5147 | Deana Fugate Dmd Pc 1213 W Lincoln Ave Goshen IN 46526-2130 Ph: (574) 533-6911 |
| NPI Number | 1710638358 |
|---|---|
| Provider Enumeration Date | 01/14/2022 |
| Last Update Date | 06/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710638358 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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