NPIMap

Organization Active NPI

Fugere Dental PLLC

Doing business as Fernwood Family Dental

  • General Practice Dentistry
  • Poulsbo, WA
National Provider Identifier
1205348026
Registry record updated Nov 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE-60625016 Issued in WA
Legal business name
FUGERE DENTAL PLLC
Doing business as
Fernwood Family Dental
Practice address
19500 10TH Ave NE Ste 210
Poulsbo, WA 98370-6553
Phone
(360) 394-4337
NPI assigned
Nov 2, 2017
Last updated
Nov 2, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. William Fugere, DMDNPI 1144564360
Title
Owner/Dentist
Phone
(801) 885-8997

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DE-60625016 WA Primary
Dental HygienistGroup: 193400000X SINGLE SPECIALTY GROUP 124Q00000X

Addresses

Primary practice location

19500 10TH Ave NE Ste 210
Poulsbo, WA 98370-6553

Mailing address

2320 Dalarna CT NE
Poulsbo, WA 98370-7590
Phone (801) 885-8997

Other names 1

  • Fernwood Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

19500 10th Ave NE
Ste 210
Poulsbo, WA 98370
Phone (360) 394-4337

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1509580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509580800000",
    "number": "1205348026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 DALARNA CT NE",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983707590",
            "telephone_number": "801-885-8997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19500 10TH AVE NE STE 210",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983706553",
            "telephone_number": "360-394-4337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUGERE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-02",
        "last_updated": "2017-11-02",
        "status": "A",
        "authorized_official_last_name": "FUGERE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "801-885-8997",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE-60625016",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fernwood Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Poulsbo, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.