Summit Dental Group Pc in Fort Wayne - General Practice
Summit Dental Group Pc - NPI 1720175979
Summit Dental Group Pc is a General Practice in Fort Wayne, Indiana. Summit Dental Group Pc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Summit Dental Group Pc is 1720175979. The last update date is 2020-08-22.
Summit Dental Group Pc's current location address is 7207 Engle Rd, Fort Wayne, Indiana. You can contact this provider via phone number 2604340099 and fax number 2604340799. The mailing address for Summit Dental Group Pc is 7207 Engle Rd, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Summit Dental Group Pc |
|---|---|
| Address | 7207 Engle Rd, Fort Wayne, Indiana |
| Phone Number | 2604340099 |
| Fax Number | 2604340799 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Presser Douglas Rich |
| Credentials | DDS |
| Telephone Number | 2604340099 |
NPI Number Detail
| NPI Number | 1720175979 |
|---|---|
| Provider Enumeration Date | 2006-10-09 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 7207 Engle Rd |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468042231 |
| Phone Number | 2604340099 |
| Fax Number | 2604340799 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 12010594A |
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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 identifier code issued to Summit Dental Group Pc by the Centers for Medicare & Medicaid Services (CMS)?
The Summit Dental Group Pc has been assigned the NPI (National Provider Identifier) 1720175979. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Summit Dental Group Pc located?
The Summit Dental Group Pc is located at 7207 Engle Rd, Fort Wayne, IN 468042231.
What is Summit Dental Group Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Summit Dental Group Pc is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
On what date did the Summit Dental Group Pc receive its 1720175979 assignment from the Centers for Medicare & Medicaid Services?
The Summit Dental Group Pc was assigned its 1720175979 by the Centers for Medicare & Medicaid Services on 2006-10-09.
When was the Summit Dental Group Pc's information last updated?
The Summit Dental Group Pc's information was last updated on 2020-08-22.