MICHAEL W FUQUA DDS NPI 1669552758

NPI Information

  • NPI: 1669552758
  • Provider Name: MICHAEL W FUQUA DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Doing Business As: ADVANCED DENTAL ASSOCIATES
  • Address: 2202 S 77 SUNSHINE STRIP
    STE B
    HARLINGEN, TX
    ZIP 78550
  • Phone: (956) 425-7474

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NPI Details

MICHAEL W FUQUA DDS is a general practice dentist in Harlingen, TX. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. MICHAEL W FUQUA DDS NPI is 1669552758. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Advanced Dental Associates.

The provider's business location address is:

2202 S 77 SUNSHINE STRIP
STE B
HARLINGEN, TX
ZIP 78550
Phone: (956) 425-7474
Fax: (956) 425-3555

The provider's authorized official is Michael W Fuqua .
The authorized official title is Owner and has the following contact phone number (956) 425-7474.

The enumeration date for this NPI number is 10/16/2006 and was last updated on 8/1/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice16265TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1120848003MEDICAIDTEXAS
21626501OTHERTEXASTEXAS CHYOS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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