Craig Matthew Bolinger in Fort Wayne - General Practice
Craig Matthew Bolinger - NPI 1124153325
Craig Matthew Bolinger is a General Practice in Fort Wayne, Indiana. Craig Matthew Bolinger practices all healthcare services and medical treatments related to General Practice. The NPI Number for Craig Matthew Bolinger is 1124153325. The last update date is 2017-04-19.
Craig Matthew Bolinger's current location address is 11121 Eagle River Run, Fort Wayne, Indiana. You can contact this provider via phone number 2604848490. The mailing address for Craig Matthew Bolinger is 11121 Eagle River Run, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Craig Matthew Bolinger |
|---|---|
| Address | 11121 Eagle River Run, Fort Wayne, Indiana |
| Phone Number | 2604848490 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1124153325 |
|---|---|
| Provider Enumeration Date | 2007-02-21 |
| Last Updated Date | 2017-04-19 |
Provider Mailing Address Detail
| Address | 11121 Eagle River Run |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468458742 |
| Phone Number | 2604848490 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 12010634A |
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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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What is the unique 10-digit identifier code issued to Craig Matthew Bolinger by the Centers for Medicare & Medicaid Services?
The Craig Matthew Bolinger has been assigned the NPI (National Provider Identifier) 1124153325 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Craig Matthew Bolinger is physically located?
The Craig Matthew Bolinger is situated at the following address: 11121 Eagle River Run, Fort Wayne, IN 468458742.
What is Craig Matthew Bolinger's area of expertise and its corresponding taxonomy classification?
The Craig Matthew Bolinger's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1124153325 assigned to Craig Matthew Bolinger?
The Craig Matthew Bolinger was issued its 1124153325 on 2007-02-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Craig Matthew Bolinger last refreshed?
The information related to the Craig Matthew Bolinger, including its address, specialty, and other relevant details, was last updated on 2017-04-19.