Brett Michael Disalle in Fort Wayne - General Practice
Brett Michael Disalle - NPI 1609962646
Brett Michael Disalle is a General Practice in Fort Wayne, Indiana. Brett Michael Disalle practices all healthcare services and medical treatments related to General Practice. The NPI Number for Brett Michael Disalle is 1609962646. The last update date is 2007-07-08.
Brett Michael Disalle's current location address is 430 Augusta Way, Fort Wayne, Indiana. You can contact this provider via phone number 2604979615. The mailing address for Brett Michael Disalle is 430 Augusta Way, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brett Michael Disalle |
|---|---|
| Address | 430 Augusta Way, Fort Wayne, Indiana |
| Phone Number | 2604979615 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1609962646 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 430 Augusta Way |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468252175 |
| Phone Number | 2604979615 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 12009812 |
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Definition: 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. |
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Post Comment/ Review Below
What is the unique identifier code issued to Brett Michael Disalle by the Centers for Medicare & Medicaid Services (CMS)?
The Brett Michael Disalle has been assigned the NPI (National Provider Identifier) 1609962646. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Brett Michael Disalle?
The Brett Michael Disalle is situated at 430 Augusta Way, in the city of Fort Wayne, state of IN, with the zip code 468252175.
What is Brett Michael Disalle's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Brett Michael Disalle is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
When did the Brett Michael Disalle receive its 1609962646?
The Brett Michael Disalle was issued its 1609962646 on 2006-10-05, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Brett Michael Disalle most recently updated or revised?
The information pertaining to Brett Michael Disalle, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.