IndividualActive
Llyndall Fagg, DDS MSD
NPI 1093715963 · Pediatric Dentistry · Michigan City, IN
Llyndall Fagg, DDS MSD is a Pediatric Dentistry provider in Michigan City, IN (NPI 1093715963).
Provider details
- NPI number
- 1093715963
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DDS MSD
- Sex
- Male
- Sole proprietor
- No
- License
- 12007148A (IN)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
211 Medical Plz
Michigan City, IN 46360-3364
Phone: (219) 879-4559
Fax: (219) 879-4559
Approximate (ZIP-level) locationGet directions
Mailing address
211 Medical Plz
Michigan City, IN 46360-3364
Registry dates
- Enumerated
- 2005-07-21
- Last updated
- 2012-09-12
Frequently asked questions
- What is Llyndall Fagg's NPI number?
- Llyndall Fagg's National Provider Identifier (NPI) is 1093715963, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Llyndall Fagg's specialty?
- Llyndall Fagg is listed in the NPPES registry with a primary specialty of Pediatric Dentistry (Dental Providers).
- Where is Llyndall Fagg located?
- Llyndall Fagg's practice location on file with NPPES is 211 Medical Plz, Michigan City, IN 46360-3364.
- What is Llyndall Fagg's phone number?
- The practice phone number listed in the NPPES registry for Llyndall Fagg is (219) 879-4559.
- Is Llyndall Fagg's NPI active?
- Yes — Llyndall Fagg's NPI (1093715963) is active in the NPPES registry as of the last update on 2012-09-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.