| Deana Fugate, Dmd, P.a. | |
|
13500 Nc Highway 50 Suite 104 Surf City NC 28445-7934 | |
| (910) 329-0298 | |
| (910) 329-4498 |
| Full Name | Deana Fugate, Dmd, P.a. |
|---|---|
| Speciality | Dentist |
| Location | 13500 Nc Highway 50, Surf City, North Carolina |
| Authorized Official Name and Position | Deana Fugate (OWNER) |
| Authorized Official Contact | 9103290298 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deana Fugate, Dmd, P.a. 13500 Nc Highway 50 Suite 104 Surf City NC 28445-7934 Ph: (910) 329-0298 | Deana Fugate, Dmd, P.a. 13500 Nc Highway 50 Suite 104 Surf City NC 28445-7934 Ph: (910) 329-0298 |
| NPI Number | 1215114780 |
|---|---|
| Provider Enumeration Date | 01/28/2008 |
| Last Update Date | 01/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215114780 | NPI | - | NPPES |
| 1326027038 | Other | NC | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 8338 (North Carolina) | Primary |