L. RHETT FAGG, D.D.S., M.S.D., PC
NPI 1568635183
Dentist - Pediatric Dentistry in Michigan City, IN

Active since April 03, 2008
211 MEDICAL PLZ, MICHIGAN CITY, IN 46360(219) 879-4559(219) 879-4559 Get Directions Write a Review

NPPES record last updated: September 24, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About L. Rhett Fagg, D.d.s., M.s.d., Pc NPPES

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

L. RHETT FAGG, D.D.S., M.S.D., PC (NPI 1568635183) is a healthcare organization registered as a pediatric dentistry in Michigan City, Indiana and active in the NPI registry since April 2008. The organization lists Cynthia A Bechinski, Staff Assistant, as its authorized official.

NPPES Registry Identity

NPI1568635183
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameL. RHETT FAGG, D.D.S., M.S.D., PC
Location Address211 MEDICAL PLZMichigan City, IN 46360-3364
Mailing Address211 Medical PlzMichigan City, IN 46360-3364 · (219) 879-4559 · Fax (219) 879-4559
Fax(219) 879-4559
Organization SubpartNo
Authorized OfficialCynthia A BechinskiStaff Assistant · (219) 879-4559
Enumeration DateApril 3, 2008
Last NPPES UpdateSeptember 24, 2012
NPI 1568635183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in IN · 12007148A
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
211 MEDICAL PLZ, Michigan City, IN 46360

Other Identifiers 1

Medicaid200356670AIN

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

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

Dentist (Pediatric Dentistry)
211 MEDICAL PLZ
MICHIGAN CITY, IN 46360

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 L. Rhett Fagg, D.D.S., M.S.D., PC's NPI number?

The NPI number for L. Rhett Fagg, D.D.S., M.S.D., PC is 1568635183. It was assigned to this organization in the NPPES registry on April 3, 2008.

Where is L. Rhett Fagg, D.D.S., M.S.D., PC located?

L. Rhett Fagg, D.D.S., M.S.D., PC is located at 211 Medical Plz, Michigan City, IN 46360. The listed phone number is (219) 879-4559.

What is L. Rhett Fagg, D.D.S., M.S.D., PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for L. Rhett Fagg, D.D.S., M.S.D., PC was last updated on September 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.