| Dr David Keith Fagundes, DMD | |
|
105 Parker Dr, Suite A, Lagrange, GA 30240-6436 | |
| (706) 884-3636 | |
| (706) 884-8490 |
| Full Name | Dr David Keith Fagundes |
|---|---|
| Gender | Male |
| Speciality | Dentist - Endodontics |
| Location | 105 Parker Dr, Lagrange, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184701815 | NPI | - | NPPES |
| 971792 | Other | UNITED CONCORDIA INSURANC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 4564 (Alabama) | Secondary |
| 1223E0200X | Dentist - Endodontics | 11435 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David Keith Fagundes, DMD 105 Parker Dr, Suite A, Lagrange, GA 30240-6436 Ph: (706) 884-3636 | Dr David Keith Fagundes, DMD 105 Parker Dr, Suite A, Lagrange, GA 30240-6436 Ph: (706) 884-3636 |
Dr. John Bowen Beall, DMD Dentist Medicare: Medicare Enrolled Practice Location: 106 Corporate Plaza Dr, Lagrange, GA 30241 Phone: 706-882-2597 Fax: 706-882-0836 | |
Angela Bulloch-patterson, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 202 Calumet Center Rd, Lagrange, GA 30241 Phone: 706-298-0007 Fax: 706-298-5008 | |
Robert S Gold, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 104 Harwell Ave, Lagrange, GA 30240 Phone: 706-837-0123 Fax: 706-884-2649 | |
Dr. Joel William Pritchett, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 307 Church St, Lagrange, GA 30240 Phone: 706-882-0591 Fax: 706-845-9546 | |
Dr. George W Childress, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 114 Calumet Center Rd, Lagrange, GA 30241 Phone: 706-882-1888 Fax: 706-882-0321 | |
Deema Raslan, Dentist Medicare: Not Enrolled in Medicare Practice Location: 307 Church St, Lagrange, GA 30240 Phone: 706-884-3263 |