Fort Wayne Smiles Pc in Fort Wayne - Dentist

Fort Wayne Smiles Pc - NPI 1932252772

Fort Wayne Smiles Pc is a Dentist in Fort Wayne, Indiana. Fort Wayne Smiles Pc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Fort Wayne Smiles Pc is 1932252772. The last update date is 2008-02-06.

Fort Wayne Smiles Pc's current location address is 2031 Reed Road, Fort Wayne, Indiana. You can contact this provider via phone number 2604261086 and fax number 2604241046. The mailing address for Fort Wayne Smiles Pc is 2031 Reed Road, Fort Wayne, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Fort Wayne Smiles Pc
Address 2031 Reed Road, Fort Wayne, Indiana
Phone Number 2604261086
Fax Number 2604241046
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Reichwage Paul David
Telephone Number 2604261086

NPI Number Detail

NPI Number 1932252772
Provider Enumeration Date 2007-01-18
Last Updated Date 2008-02-06

Provider Mailing Address Detail

Address 2031 Reed Road
City Fort Wayne
State Indiana (IN)
Post Code 46815
Phone Number 2604261086
Fax Number 2604241046

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 12006980A
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

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FAQs about Fort Wayne Smiles Pc

What is the unique identifier code issued to Fort Wayne Smiles Pc by the Centers for Medicare & Medicaid Services?

The Fort Wayne Smiles Pc has been assigned the NPI (National Provider Identifier) 1932252772. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Fort Wayne Smiles Pc's facilities are situated?

The facilities of Fort Wayne Smiles Pc are physically located at the following address: 2031 Reed Road, Fort Wayne, IN, 46815.

What is Fort Wayne Smiles Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Fort Wayne Smiles Pc is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1932252772 to Fort Wayne Smiles Pc?

The Fort Wayne Smiles Pc received its 1932252772 assignment from the Centers for Medicare & Medicaid Services on 2007-01-18.

When was the information regarding Fort Wayne Smiles Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Fort Wayne Smiles Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-02-06.

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