Decatur Family Dentistry 2.0
Organization Active NPI General Practice Dentistry · Decatur, IN
NPI 1548056922 · NPPES record last updated Apr 22, 2025
Key facts
- NPI
- 1548056922
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- DECATUR FAMILY DENTISTRY 2.0
- Practice address
- 1020 Southampton Dr
Decatur, IN 46733-1049 - Phone
- (260) 223-7533
- NPI assigned
- Apr 15, 2025
- Organization subpart
- No
Authorized official
- Name
- Forrest Fullenkamp, DDS
- Title
- Owner
- Phone
- (260) 223-7533
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
1020 Southampton Dr
Decatur, IN 46733-1049
Mailing address
1020 Southampton Dr
Decatur, IN 46733-1049
Phone (260) 223-7533
Other names
- Decatur Family Dentistry
Other providers in Decatur, IN
- Teresa Ann Conrad
- Robert Michael Corral
- Chelsea Crago
- Vera A Cummins
- Decatur Dental Services, Inc.
- Decatur Family Dentistry of Adams County LLC
- Decatur Fire Department
- Decatur Urgent Care Walk in Clinic LLC
- Alberto Jose Delgado
- Regan Renee Dettmer
All providers in Decatur, IN · General Practice Dentistry in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.