| Decatur Family Dentistry 2.0 | |
|
1020 Southampton Dr Decatur IN 46733-1049 | |
| (260) 223-7533 | |
| Not Available |
| Full Name | Decatur Family Dentistry 2.0 |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1020 Southampton Dr, Decatur, Indiana |
| Authorized Official Name and Position | Forrest Fullenkamp (OWNER) |
| Authorized Official Contact | 2602237533 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Decatur Family Dentistry 2.0 1020 Southampton Dr Decatur IN 46733-1049 Ph: (260) 223-7533 | Decatur Family Dentistry 2.0 1020 Southampton Dr Decatur IN 46733-1049 Ph: (260) 223-7533 |
| NPI Number | 1548056922 |
|---|---|
| Provider Enumeration Date | 04/15/2025 |
| Last Update Date | 04/22/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548056922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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