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Active NPI 1003980103 Individual Practitioner Male Practitioner

Dr. Charles Keith Fuqua , DDS

Dentist - General Practice • Maumee, OH

Professional Overview & Biography Verified Profile Summary

Dr. Charles Fuqua, DDS is a registered healthcare professional specializing in Dentist - General Practice in Maumee, OH. Practice services are available at 2444 S DETROIT AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2444 S Detroit Ave
C Keith Fugua Dds

Maumee, OH 43537

Telephone 4198938431
Fax 4198937234
Associated Practice Facility / Clinic
🏢 Dr. Adnan Ahmed Dds, Inc. Facility NPI 1932366184

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Maumee, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.6 Yrs
Regional Practice Density
16 Specialists

Practicing in Maumee, OH (4287 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OH 14255

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0227150 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Adnan Ahmed , DDS

Dentist - General Practice

NPI 1891866752

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active December 11, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location December 11, 2012

Registered at 2444 S DETROIT AVE, C KEITH FUGUA DDS, MAUMEE, OH 43537 (Tel: 4198938431)

📍
Updated Business Mailing Address December 11, 2012

Registered at 2444 S DETROIT AVE, C KEITH FUGUA DDS, MAUMEE, OH 43537 (Tel: 4198938431)

👤
Provider Name / Credentials Updated December 11, 2012

Recorded as CHARLES FUQUA, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2012

Dentist (License #14255 in OH)

🟢
Initial NPI Registration & Enumeration November 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003980103
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 20, 2006
Last Update: December 11, 2012
Sole Proprietor: No
Update or Correct Profile

Mailing Address

2444 S Detroit Ave, C Keith Fugua Dds

Maumee, OH 43537

Phone: 4198938431

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.