L. Rhett Fagg, D.D.S., M.S.D., Pc in Michigan City - Pediatric Dentistry
L. Rhett Fagg, D.D.S., M.S.D., Pc - NPI 1568635183
L. Rhett Fagg, D.D.S., M.S.D., Pc is a Pediatric Dentistry in Michigan City, Indiana. L. Rhett Fagg, D.D.S., M.S.D., Pc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for L. Rhett Fagg, D.D.S., M.S.D., Pc is 1568635183. The last update date is 2012-09-24.
L. Rhett Fagg, D.D.S., M.S.D., Pc's current location address is 211 Medical Plz, Michigan City, Indiana. You can contact this provider via phone number 2198794559 and fax number 2198794559. The mailing address for L. Rhett Fagg, D.D.S., M.S.D., Pc is 211 Medical Plz, Michigan City, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | L. Rhett Fagg, D.D.S., M.S.D., Pc |
|---|---|
| Address | 211 Medical Plz, Michigan City, Indiana |
| Phone Number | 2198794559 |
| Fax Number | 2198794559 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | STAFF ASSI |
|---|---|
| Authorized Official Name | Bechinski A Cynthia |
| Telephone Number | 2198794559 |
NPI Number Detail
| NPI Number | 1568635183 |
|---|---|
| Provider Enumeration Date | 2008-04-03 |
| Last Updated Date | 2012-09-24 |
Provider Mailing Address Detail
| Address | 211 Medical Plz |
|---|---|
| City | Michigan City |
| State | Indiana (IN) |
| Post Code | 463603364 |
| Phone Number | 2198794559 |
| Fax Number | 2198794559 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 12007148A |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200356670A | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to L. Rhett Fagg, D.D.S., M.S.D., Pc by the Centers for Medicare & Medicaid Services?
The L. Rhett Fagg, D.D.S., M.S.D., Pc has been assigned the NPI (National Provider Identifier) 1568635183 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where L. Rhett Fagg, D.D.S., M.S.D., Pc's facilities are situated?
The facilities of L. Rhett Fagg, D.D.S., M.S.D., Pc are physically located at the following address: 211 Medical Plz, Michigan City, IN, 463603364.
What is L. Rhett Fagg, D.D.S., M.S.D., Pc's area of expertise and its corresponding taxonomy classification?
The L. Rhett Fagg, D.D.S., M.S.D., Pc's field of specialization is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their areas of practice.
On what date did the L. Rhett Fagg, D.D.S., M.S.D., Pc receive its 1568635183 assignment from the Centers for Medicare & Medicaid Services?
The L. Rhett Fagg, D.D.S., M.S.D., Pc was assigned its 1568635183 by the Centers for Medicare & Medicaid Services on 2008-04-03.
As of what date were the details pertaining to L. Rhett Fagg, D.D.S., M.S.D., Pc last refreshed?
The information related to the L. Rhett Fagg, D.D.S., M.S.D., Pc, including its address, specialty, and other relevant details, was last updated on 2012-09-24.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH