# FUGERE DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fernwood Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205348026
- **Authorized official:** DR. WILLIAM FUGERE DMD (OWNER/DENTIST)
- **Authorized official phone:** (801) 885-8997

## Contact information

- **Practice address:** 19500 10TH AVE NE STE 210, POULSBO, WA 98370-6553
- **Practice address phone:** (360) 394-4337
- **Mailing address:** 2320 DALARNA CT NE, POULSBO, WA 98370-7590
- **Mailing address phone:** (801) 885-8997

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE-60625016 | WA | Yes |
| 124Q00000X | Dental Hygienist | — | NULL | — |
| 124Q00000X | Dental Hygienist | — | — | — |

## Other

- **Enumeration date:** 11/02/2017
- **Last updated:** 11/02/2017
