DEANA FUGATE DMD PC
NPI 1710638358
Clinic/Center - Dental in Goshen, IN

Active since January 14, 2022
1213 W LINCOLN AVE, GOSHEN, IN 46526(574) 533-6911 Get Directions Write a Review

NPPES record last updated: June 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Deana Fugate Dmd Pc NPPES

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

DEANA FUGATE DMD PC (NPI 1710638358) is a healthcare organization registered as a dental in Goshen, Indiana and active in the NPI registry since January 2022. The organization maintains a secondary practice location in Goshen and lists Deana Fugate, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1710638358
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameDEANA FUGATE DMD PC
Location Address1213 W LINCOLN AVEGoshen, IN 46526-2130
Mailing Address55623 Little Creek LnMiddlebury, IN 46540-8677 · (865) 208-5147
Organization SubpartNo
Authorized OfficialDeana FugateOwner/dentist · (865) 208-5147
Enumeration DateJanuary 14, 2022
Last NPPES UpdateJune 15, 2022
NPPES CertifiedJune 15, 2022
NPI 1710638358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1213 W LINCOLN AVE, Goshen, IN 46526

Secondary Practice Location 1

Location 11934 W Lincoln AveGoshen, IN 46526-5907 · Phone (865) 208-5147

Other Providers at the Same Location NPPES 2

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

Dentist
1213 W LINCOLN AVE
GOSHEN, IN 46526
Dentist (General Practice)
1213 W LINCOLN AVE
GOSHEN, IN 46526

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 Deana Fugate Dmd PC's NPI number?

The NPI number for Deana Fugate Dmd PC is 1710638358. It was assigned to this organization in the NPPES registry on January 14, 2022.

Where is Deana Fugate Dmd PC located?

Deana Fugate Dmd PC is located at 1213 W Lincoln Ave, Goshen, IN 46526. The listed phone number is (574) 533-6911.

What is Deana Fugate Dmd PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Deana Fugate Dmd PC was last updated on June 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.