Healthcare Provider Details

I. General information

NPI: 1962711572
Provider Name (Legal Business Name): DANA MICHELLE FUHRMANN DDS, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2010
Last Update Date: 01/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

134 N MAPLE ST
MUENSTER TX
76252-2252
US

IV. Provider business mailing address

134 N MAPLE ST
MUENSTER TX
76252-2252
US

V. Phone/Fax

Practice location:
  • Phone: 940-759-2303
  • Fax: 940-759-2399
Mailing address:
  • Phone: 940-759-2303
  • Fax: 940-759-2399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number24033
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number24033
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: