Marvin Preston Eady in Fort Wayne - General Practice
Marvin Preston Eady - NPI 1457331332
Marvin Preston Eady is a General Practice in Fort Wayne, Indiana. Marvin Preston Eady practices all healthcare services and medical treatments related to General Practice. The NPI Number for Marvin Preston Eady is 1457331332. The last update date is 2007-07-09.
Marvin Preston Eady's current location address is 4646 W Jefferson Blvd, Fort Wayne, Indiana. You can contact this provider via phone number 2604591415 and fax number 2604591419. The mailing address for Marvin Preston Eady is 4646 W Jefferson Blvd, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marvin Preston Eady |
|---|---|
| Address | 4646 W Jefferson Blvd, Fort Wayne, Indiana |
| Phone Number | 2604591415 |
| Fax Number | 2604591419 |
| Sole Proprietor | X |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1457331332 |
|---|---|
| Provider Enumeration Date | 2006-01-18 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 4646 W Jefferson Blvd |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468046842 |
| Phone Number | 2604591415 |
| Fax Number | 2604591419 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 12009115A |
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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 provider identifier assigned to Marvin Preston Eady?
The Marvin Preston Eady has been issued the NPI (National Provider Identifier) 1457331332 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Marvin Preston Eady?
The Marvin Preston Eady is physically situated at 4646 W Jefferson Blvd, in the city of Fort Wayne, state of IN, with the postal code 468046842.
What is Marvin Preston Eady's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Marvin Preston Eady is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.
On what date was the 1457331332 assigned to Marvin Preston Eady?
The Marvin Preston Eady was issued its 1457331332 on 2006-01-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Marvin Preston Eady's information last updated?
The Marvin Preston Eady's information was last updated on 2007-07-09.