Deana Fugate DMD PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DEANA FUGATE DMD PC

Practice address

1213 W Lincoln Ave
Goshen, IN 46526-2130

Phone

(574) 533-6911

NPI assigned

Jan 14, 2022

Organization subpart

No

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

Authorized official

Name

Deana Fugate, DMDNPI 1326027038

Title

Owner/Dentist

Phone

(865) 208-5147

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deana R Fugate, DMD

  • Dentist
  • Goshen, IN
  • NPI 1326027038
  NPD Authorized official
• Douglas A Stanley, D.D.S.

  • General Practice Dentistry
  • Goshen, IN
  • NPI 1801978127
  NPD (past)

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1710638358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55623 LITTLE CREEK LN",
            "city": "MIDDLEBURY",
            "state": "IN",
            "postal_code": "465408677",
            "telephone_number": "865-208-5147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 W LINCOLN AVE",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465262130",
            "telephone_number": "574-533-6911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1934 W Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Goshen",
            "state": "IN",
            "postal_code": "465265907",
            "country_code": "US",
            "telephone_number": "865-208-5147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DEANA FUGATE DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-14",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "FUGATE",
        "authorized_official_first_name": "DEANA",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "865-208-5147",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orelia Daye, MSW
• Mariovani P De Freitas, PHARM.D
• Morgan Elizabeth De Kleine, CNM, FNP-BC
• Christiaan Erik De Vries, M.D.
• Mark E Deal, DDS
• Nicholas Defauw, DO
• John Dejong, RPH
• Gabriela Del Real, BSW
• Kaitlyn E Delgado, FNP-BC
• Victoria Delgado

• Dental Clinic/Center in Goshen, IN
• Providers in Goshen, IN by specialty
• Dental Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.