Lifetime Dental Care Of Indiana, Pc in Fort Wayne - General Practice
Lifetime Dental Care Of Indiana, Pc - NPI 1336361740
Lifetime Dental Care Of Indiana, Pc is a General Practice in Fort Wayne, Indiana. Lifetime Dental Care Of Indiana, Pc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Lifetime Dental Care Of Indiana, Pc is 1336361740. The last update date is 2014-11-01.
Lifetime Dental Care Of Indiana, Pc's current location address is 2828 E State Blvd, Fort Wayne, Indiana. You can contact this provider via phone number 2604826689 and fax number 2604826948. The mailing address for Lifetime Dental Care Of Indiana, Pc is 2828 E State Blvd, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lifetime Dental Care Of Indiana, Pc |
|---|---|
| Address | 2828 E State Blvd, Fort Wayne, Indiana |
| Phone Number | 2604826689 |
| Fax Number | 2604826948 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | INS COOD |
|---|---|
| Authorized Official Name | Hoelscher Jennifer |
| Telephone Number | 2175405100 |
NPI Number Detail
| NPI Number | 1336361740 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2014-11-01 |
Provider Mailing Address Detail
| Address | 2828 E State Blvd |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468054761 |
| Phone Number | 2604826689 |
| Fax Number | 2604826948 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
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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 Lifetime Dental Care Of Indiana, Pc's unique identification number?
The Lifetime Dental Care Of Indiana, Pc has been assigned the NPI (National Provider Identifier) Number 1336361740 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Lifetime Dental Care Of Indiana, Pc is physically located?
The Lifetime Dental Care Of Indiana, Pc is situated at the following address: 2828 E State Blvd, Fort Wayne, IN 468054761.
What is Lifetime Dental Care Of Indiana, Pc's area of expertise and its corresponding taxonomy classification?
The Lifetime Dental Care Of Indiana, Pc'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 did the Centers for Medicare & Medicaid Services issue the 1336361740 to Lifetime Dental Care Of Indiana, Pc?
The Lifetime Dental Care Of Indiana, Pc received its 1336361740 assignment from the Centers for Medicare & Medicaid Services on 2007-05-03.
When was the information pertaining to Lifetime Dental Care Of Indiana, Pc most recently updated or revised?
The details related to Lifetime Dental Care Of Indiana, Pc, including its address, specialty, and other relevant information, were last updated or revised on 2014-11-01.
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