Dr Llyndall Rhett Fagg, DDS MSD - Dentist in Michigan City, IN

Dr Llyndall Rhett Fagg, DDS MSD is a Dentist - Pediatric Dentistry based in Michigan City, Indiana. Dr Llyndall Rhett Fagg is licensed to practice in Indiana (license number 12007148A) and his current practice location is 211 Medical Plz, Michigan City, Indiana. He can be reached at his office (for appointments etc.) via phone at (219) 879-4559.

NPI number for Dr Llyndall Rhett Fagg is 1093715963 and his current mailing address is 211 Medical Plz, Michigan City, Indiana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1093715963.

Contact Information

Dr Llyndall Rhett Fagg, DDS MSD
211 Medical Plz,
Michigan City, IN 46360-3364
(219) 879-4559
(219) 879-4559

Map and Direction




Healthcare Provider's Profile

Full NameDr Llyndall Rhett Fagg
GenderMale
SpecialityDentist - Pediatric Dentistry
Location211 Medical Plz, Michigan City, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1093715963
  • Provider Enumeration Date: 07/21/2005
  • Last Update Date: 09/12/2012

Medical Identifiers

Medical identifiers for Dr Llyndall Rhett Fagg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093715963NPI-NPPES
200365570MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0221XDentist - Pediatric Dentistry 12007148A (Indiana)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Llyndall Rhett Fagg is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Llyndall Rhett Fagg, DDS MSD
211 Medical Plz,
Michigan City, IN 46360-3364

Ph: (219) 879-4559
Dr Llyndall Rhett Fagg, DDS MSD
211 Medical Plz,
Michigan City, IN 46360-3364

Ph: (219) 879-4559

Reviews and Comments


Dentist in Michigan City, IN

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