DR. LLYNDALL FAGG, DDS MSD

Dentist - Pediatric Dentistry

Active Individual
NPI: 1093715963

Practice Address

211 MEDICAL PLZ
Michigan City, IN 46360

Phone: (219) 879-4559

Specialties

Specialty Code Primary License
Dentist - Pediatric Dentistry 1223P0221X Yes 12007148A (IN)

Frequently Asked Questions

NPI 1093715963 is the National Provider Identifier for DR. LLYNDALL FAGG, DDS MSD, a Dentist - Pediatric Dentistry provider located in Michigan City, IN. This NPI was enumerated on July 21, 2005.
DR. LLYNDALL FAGG, DDS MSD practices at 211 MEDICAL PLZ, Michigan City, IN 46360.

Quick Facts

NPI
1093715963
Type
Individual
Enumerated
Jul 21, 2005
Last Updated
Sep 12, 2012

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