Individual
DR. ERIC PETER FUGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1277 HIGHWAY 411, VONORE, TN 37885-2456
(423) 884-2300
(423) 884-2981
Mailing address
155 GRAND VIS STE 7, VONORE, TN 37885-2138
(423) 884-2300
(423) 884-2981
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7869
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030497439
TAX ID #
TN
Enumeration date
04/11/2007
Last updated
08/25/2015
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