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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