Pediatric Dental Associates Pc in Fort Wayne - Pediatric Dentistry
Pediatric Dental Associates Pc - NPI 1477678167
Pediatric Dental Associates Pc is a Pediatric Dentistry in Fort Wayne, Indiana. Pediatric Dental Associates Pc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Pediatric Dental Associates Pc is 1477678167. The last update date is 2020-08-22.
Pediatric Dental Associates Pc's current location address is 7750 West Jefferson Blvd, Fort Wayne, Indiana. You can contact this provider via phone number 2604590903 and fax number 2604590673. The mailing address for Pediatric Dental Associates Pc is 7750 West Jefferson Blvd, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Pediatric Dental Associates Pc |
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Address | 7750 West Jefferson Blvd, Fort Wayne, Indiana |
Phone Number | 2604590903 |
Fax Number | 2604590673 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Hobbs Steven Andrew |
Credentials | DDS |
Telephone Number | 2604590903 |
NPI Number Detail
NPI Number | 1477678167 |
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Provider Enumeration Date | 2007-03-20 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 7750 West Jefferson Blvd |
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City | Fort Wayne |
State | Indiana (IN) |
Post Code | 468044174 |
Phone Number | 2604590903 |
Fax Number | 2604590673 |
Provider's Primary Taxonomy Detail
Speciality | Pediatric Dentistry |
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Taxonomy | 1223P0221X |
Licence No | 54001532A |
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
104667 | IN | DEPTHEALTH CHILDRENS SHCS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Pediatric Dental Associates Pc?
The Pediatric Dental Associates Pc has been issued the NPI (National Provider Identifier) 1477678167 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Pediatric Dental Associates Pc is physically located?
The Pediatric Dental Associates Pc is situated at the following address: 7750 West Jefferson Blvd, Fort Wayne, IN 468044174.
What is Pediatric Dental Associates Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Pediatric Dental Associates Pc is Pediatric Dentistry, and the taxonomy code that categorizes this field of expertise is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services assign the 1477678167 to Pediatric Dental Associates Pc?
The Centers for Medicare & Medicaid Services assigned the 1477678167 to Pediatric Dental Associates Pc on 2007-03-20.
When was the information regarding Pediatric Dental Associates Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Pediatric Dental Associates Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.
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