Organization · Type 2 NPI
L. Rhett Fagg, D.d.s., M.s.d., PC
Pediatric Dentistry · Michigan City, IN
NPI number
1568635183
Active
Practice location
211 Medical Plz
Michigan City, IN 46360-3364
Fax (219) 879-4559
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 12007148A (IN) |
Pediatric Dentistry: 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.
Another provider at this address
Other pediatric dentistry providers in Michigan City
About NPI 1568635183
L. Rhett Fagg, D.d.s., M.s.d., PC's National Provider Identifier is 1568635183, issued on Apr 3, 2008. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Michigan City, IN. The record was last updated on Sep 24, 2012.