Gwendolyn Ann Edmondson in Fort Wayne - Dentist
Gwendolyn Ann Edmondson - NPI 1518054295
Gwendolyn Ann Edmondson is a Dentist in Fort Wayne, Indiana. Gwendolyn Ann Edmondson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Gwendolyn Ann Edmondson is 1518054295. The last update date is 2007-07-08.
Gwendolyn Ann Edmondson's current location address is 6221 Covington Rd, Fort Wayne, Indiana. You can contact this provider via phone number 2604324329 and fax number 2604341570. The mailing address for Gwendolyn Ann Edmondson is 6221 Covington Rd, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gwendolyn Ann Edmondson |
|---|---|
| Address | 6221 Covington Rd, Fort Wayne, Indiana |
| Phone Number | 2604324329 |
| Fax Number | 2604341570 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1518054295 |
|---|---|
| Provider Enumeration Date | 2006-10-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6221 Covington Rd |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468047311 |
| Phone Number | 2604324329 |
| Fax Number | 2604341570 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 12008899 |
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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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What is the Gwendolyn Ann Edmondson's 1518054295?
The Gwendolyn Ann Edmondson's NPI (National Provider Identifier) Number is 1518054295. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Gwendolyn Ann Edmondson located?
The Gwendolyn Ann Edmondson is located at 6221 Covington Rd, Fort Wayne, IN 468047311.
What is Gwendolyn Ann Edmondson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Gwendolyn Ann Edmondson is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1518054295 to Gwendolyn Ann Edmondson?
The Centers for Medicare & Medicaid Services originally issued the 1518054295 to Gwendolyn Ann Edmondson on 2006-10-06.
When was the information regarding Gwendolyn Ann Edmondson most recently updated?
The details pertaining to the Gwendolyn Ann Edmondson, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.