institution
L. Rhett Fagg, D.d.s., M.s.d., Pc
Pediatric Dentist in Michigan City, Indiana
NPI 1568635183

L. Rhett Fagg, D.d.s., M.s.d., Pc is a Pediatric Dentist based in Michigan City, IN and is specialized in Pediatric Dentistry. L. Rhett Fagg, D.d.s., M.s.d., Pc practices in Michigan City, IN. The NPI Number for L. Rhett Fagg, D.d.s., M.s.d., Pc is 1568635183 and holds a License No. 12007148A (Indiana).

The current practice location address for L. Rhett Fagg, D.d.s., M.s.d., Pc is 211 Medical Plz, Michigan City, IN and can be reached out via phone at 219-879-4559 and via fax at 219-879-4559. You can also correspond with L. Rhett Fagg, D.d.s., M.s.d., Pc through the mailing address at 211 MEDICAL PLZ, MICHIGAN CITY, IN - 46360-3364 (mailing address contact number: 219-879-4559).

Location: 211 Medical Plz, Michigan City, IN, 46360-3364
institution
Provider Profile Details
NPI Number
1568635183
Provider Name
L. Rhett Fagg, D.d.s., M.s.d., Pc
Credential
Provider Entity Type
Organization
Address
211 Medical Plz, Michigan City, IN, 46360-3364
Phone Number
219-879-4559
Fax Number
219-879-4559
Provider Enumeration Date
04/03/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200356670A 05 IN
institution
Provider Business Practice Location Address Details
Address
211 Medical Plz
City
State
Zip
46360-3364
Phone Number
219-879-4559
Fax Number
219-879-4559
person
Provider Business Mailing Address Details
Address
211 Medical Plz
City
State
Zip
46360-3364
Phone Number
219-879-4559
Fax Number
219-879-4559
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
12007148A (Indiana)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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