Provider Demographics
NPI:1477670610
Name:FUCHS, DANNY J (DDS)
Entity Type:Individual
Prefix:DR
First Name:DANNY
Middle Name:J
Last Name:FUCHS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 829
Mailing Address - Street 2:
Mailing Address - City:ELK CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73648-0829
Mailing Address - Country:US
Mailing Address - Phone:580-225-6011
Mailing Address - Fax:580-225-1766
Practice Address - Street 1:922 W 3RD ST
Practice Address - Street 2:
Practice Address - City:ELK CITY
Practice Address - State:OK
Practice Address - Zip Code:73644-5212
Practice Address - Country:US
Practice Address - Phone:580-225-6011
Practice Address - Fax:580-225-1766
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK45161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice