Whalio Doctors

NPI 1063518751

Michael Fountain, DDS

Practitioner General Practice Dentistry Fort Sill, OK

Practice location

Address
2776 Ringgold Rd Fort Sill Dentac, Fort Sill, OK 73503-6300
Phone
(580) 442-3905
Fax
(580) 442-4002
Mailing address
2776 Ringgold Rd. USA Dental Activity, Fort Sill, OK 73503

Registered specialties

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence DS024267L (PA)

Registry record

NPI
1063518751
Entity type
Individual
Sex (as registered)
Male
NPI issued
16 Sep 2006
Record last updated
2 Mar 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.