Dr. Llyndall Rhett Fagg is a Michigan City, Indiana based Pediatric Dentist who is specialized in Pediatric Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Llyndall Rhett Fagg is 12007148A for Pediatric Dentistry in Indiana. His current practice location is 211 Medical Plz, Michigan City. Patients can reach him at 219-879-4559.
Dr. Llyndall Rhett Fagg provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Dr. Llyndall Rhett Fagg speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Llyndall Rhett Fagg
Specialization:
Pediatric Dentist
Gender:
Male
Credentials:
DDS MSD
Accepts Medicare Assignment:
No
Practice Address:
211 Medical Plz, Michigan City, Indiana, 46360-3364
Phone:
219-879-4559
Fax:
219-879-4559
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1093715963
NPI Enumeration Date:
21 Jul, 2005
NPI Last Update On:
12 Sep, 2012
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Llyndall Rhett Fagg are as mentioned below.
License Number
Specialization
State
Status
12007148A
Pediatric Dentistry
Indiana
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Llyndall Rhett Fagg such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
200365570
Medicaid
Indiana
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
211 Medical Plz, Michigan City, Indiana
Zip:
46360-3364
Phone Number:
219-879-4559
Fax Number:
219-879-4559
Patients can reach Dr. Llyndall Rhett Fagg at 211 Medical Plz, Michigan City, Indiana or can call to book an appointment on 219-879-4559. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.