Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LLYNDALL RHETT FAGG, DDS MSD
ActiveDR. LLYNDALL RHETT FAGG, DDS MSD is a Pediatric Dentistry healthcare provider located in MICHIGAN CITY, Indiana. NPI 1093715963 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · MICHIGAN CITY, IN
Registration Details
- NPI Number
- 1093715963
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 21, 2005 (21.035705817717 yrs)
- Last Updated
- Sep 12, 2012
- License
-
12007148A (IN)
Practice Information
- Address
-
211 MEDICAL PLZMICHIGAN CITY, IN, 463603364Browse IN providers · Browse ZIP 46360
- Phone
- 2198794559
- Fax
- 2198794559
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Other Pediatric Dentistry Providers in MICHIGAN CITY, IN
| Name | Credential | NPI |
|---|---|---|
| DR. LISA MARIE LENISKI | D.D.S., M.S.D. | 1093849424 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.