DECATUR FAMILY DENTISTRY 2.0
NPI 1548056922
Dentist - General Practice in Decatur, IN

Active since April 15, 2025
1020 SOUTHAMPTON DR, DECATUR, IN 46733(260) 223-7533 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Decatur Family Dentistry 2.0 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DECATUR FAMILY DENTISTRY 2.0 (NPI 1548056922) is a healthcare organization registered as a general practice in Decatur, Indiana and active in the NPI registry since April 2025. The organization lists Forrest Fullenkamp, Owner, as its authorized official.

NPPES Registry Identity

NPI1548056922
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDECATUR FAMILY DENTISTRY 2.0
Location Address1020 SOUTHAMPTON DRDecatur, IN 46733-1049
Mailing Address1020 Southampton DrDecatur, IN 46733-1049 · (260) 223-7533
Organization SubpartNo
Authorized OfficialForrest FullenkampOwner · (260) 223-7533
Enumeration DateApril 15, 2025
Last NPPES UpdateApril 22, 2025
NPPES CertifiedApril 22, 2025
NPI 1548056922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1020 SOUTHAMPTON DR, Decatur, IN 46733

Other Names 1

Other NameDecatur Family Dentistry

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
1020 SOUTHAMPTON DR
DECATUR, IN 46733
Dentist (General Practice)
1020 SOUTHAMPTON DR
DECATUR, IN 46733
Dentist (General Practice)
1020 SOUTHAMPTON DR
DECATUR, IN 46733
Dentist
1020 SOUTHAMPTON DR
DECATUR, IN 46733
Dentist (General Practice)
1020 SOUTHAMPTON DR
DECATUR, IN 46733

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Decatur Family Dentistry 2.0's NPI number?

The NPI number for Decatur Family Dentistry 2.0 is 1548056922. It was assigned to this organization in the NPPES registry on April 15, 2025. The provider is also known as Decatur Family Dentistry.

Where is Decatur Family Dentistry 2.0 located?

Decatur Family Dentistry 2.0 is located at 1020 Southampton Dr, Decatur, IN 46733. The listed phone number is (260) 223-7533.

What is Decatur Family Dentistry 2.0's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Decatur Family Dentistry 2.0 was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.