Individual
DR. JACOB DANIEL FUGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1626 IN-46, TERRE HAUTE, IN 47803
(812) 877-2238
Mailing address
152 CORINTH CT, TERRE HAUTE, IN 47803-9462
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12013924A
IN
Other
Enumeration date
09/02/2022
Last updated
09/02/2022
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