Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fairmount Family Dentist

Organization Dental Clinic/Center · NPI 1518412139

Fairmount Family Dentist is a Dental Clinic/Center in Fairmount, Indiana. Licensed in Indiana. Registered with an NPI since 2016.

Licensed in
IN
In the registry since
2016

Practice location Address checks out

215 E Washington St
Fairmount, IN 46928-1747
Phone: (765) 948-4107
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 12011164A (IN)

Record details

NPI number1518412139
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Shock — Owner · (765) 948-4107
NPI enumeratedAugust 24, 2016
Last updated in NPPESAugust 24, 2016
Mailing address215 E Washington St, Fairmount, IN 46928-1747