Organization
DEANA FUGATE, DMD, P.A.
Active
Other names
Surf City Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEANA FUGATE DMD (OWNER)
(910) 329-0298
Entity
Organization
Contact information
Practice address
13500 NC HIGHWAY 50, SUITE 104, SURF CITY, NC 28445-7934
(910) 329-0298
(910) 329-4498
Mailing address
13500 NC HIGHWAY 50, SUITE 104, SURF CITY, NC 28445-7934
(910) 329-0298
(910) 329-4498
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8338
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326027038
INDIVIDUAL NPI
NC
Enumeration date
01/28/2008
Last updated
01/28/2008
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