| Dr Forrest Wane Fullenkamp, DDS | |
|
1020 Southampton Dr, Decatur, IN 46733-1049 | |
| (260) 724-8410 | |
| Not Available |
| Full Name | Dr Forrest Wane Fullenkamp |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 1020 Southampton Dr, Decatur, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730733007 | NPI | - | NPPES |
| 12013196A | Other | IN | INDIANA PROFESSIONAL LICENSING AGENCY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12013196A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Forrest Wane Fullenkamp, DDS 1020 Southampton Dr, Decatur, IN 46733-1049 Ph: (260) 724-8410 | Dr Forrest Wane Fullenkamp, DDS 1020 Southampton Dr, Decatur, IN 46733-1049 Ph: (260) 724-8410 |
Roger L Thompson, Dentist Medicare: Not Enrolled in Medicare Practice Location: 6496 N Piqua Rd, Decatur, IN 46733 Phone: 260-724-8746 Fax: 260-724-2175 | |
Terry L Baker, DDS DENTIST Dentist Medicare: Not Enrolled in Medicare Practice Location: 6496 N Piqua Rd, Decatur, IN 46733 Phone: 260-724-8746 Fax: 260-724-2175 | |
Matthew J Baker, DDS DENTIST Dentist Medicare: Not Enrolled in Medicare Practice Location: 6496 N Piqua Rd, Decatur Dental Services Inc, Decatur, IN 46733 Phone: 260-724-8746 Fax: 260-724-2175 | |
Dr. Taylor Patrick Terveer, Dentist Medicare: Medicare Enrolled Practice Location: 6496 N Piqua Rd, Decatur, IN 46733 Phone: 260-724-8746 | |
Kelly S Ulman, DDS Dentist Medicare: Medicare Enrolled Practice Location: 6496 N Piqua Rd, Decatur, IN 46733 Phone: 260-724-8746 Fax: 260-724-2175 | |
Dr. Todd Michael Evans, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 1020 Southampton Dr, Decatur, IN 46733 Phone: 260-724-8015 Fax: 260-724-8552 | |
Julie Lynn Fullenkamp, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1020 Southampton Dr, Decatur, IN 46733 Phone: 260-724-8410 |