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Organization
DECATUR FAMILY DENTISTRY 2.0
Active
Organization
DECATUR FAMILY DENTISTRY 2.0
Active
Other names
Decatur Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
FORREST FULLENKAMP DDS (OWNER)
(260) 223-7533
Entity
Organization
Contact information
Practice address
1020 SOUTHAMPTON DR, DECATUR, IN 46733-1049
(260) 223-7533
Mailing address
1020 SOUTHAMPTON DR, DECATUR, IN 46733-1049
(260) 223-7533
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/15/2025
Last updated
04/22/2025
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