DR. Michael Fountain, DDS

NPI #1063518751 in Fort Sill, Oklahoma

Provider Information

NPI Number: 1063518751
Entity Type: Individual
Name: DR. Michael Fountain, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Sep 16, 2006
Last Updated: Mar 2, 2011

Practice Location

Address: 2776 RINGGOLD RD
Address 2: FORT SILL DENTAC
City: Fort Sill
State: Oklahoma
ZIP Code: 73503-6300
Phone: (580) 442-3905

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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