MEDICARE: DR. DANNY J FUCHS DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	4516	OK

General Provider Information

NPI Number	:	1477670610
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANNY J FUCHS DDS

Provider Business Mailing Address
First Line	:	PO BOX 829
Second Line	:
City	:	ELK CITY
State	:	OK
Zip	:	73648-0829
Country	:	US
Telephone Number	:	580-225-6011
Fax Number	:	580-225-1766

Provider Business Practice Location Address
First Line	:	922 W 3RD ST
Second Line	:
City	:	ELK CITY
State	:	OK
Zip	:	73644-5212
Country	:	US
Telephone Number	:	580-225-6011
Fax Number	:	580-225-1766

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2007
Last Update Date	:	07/08/2007

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