Decatur Family Dentistry 2.0

NPI #1548056922 in Decatur, Indiana

Provider Information

NPI Number
1548056922
Entity Type
Organization
Organization Name
Decatur Family Dentistry 2.0
Primary Specialty
Dentist - General Practice
Enumeration Date
Apr 15, 2025
Last Updated
Apr 22, 2025

Practice Location

Address
1020 SOUTHAMPTON DR
State
Indiana
ZIP Code
46733-1049
Phone
(260) 223-7533

Authorized Official

Name
FORREST FULLENKAMP, DDS
Title
OWNER
Phone
(260) 223-7533

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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Provider Name
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