Gary Lynn Gotsch in Fort Wayne - Prosthodontics
Gary Lynn Gotsch - NPI 1174627749
Gary Lynn Gotsch is a Prosthodontics in Fort Wayne, Indiana. Gary Lynn Gotsch practices all healthcare services and medical treatments related to Prosthodontics. The NPI Number for Gary Lynn Gotsch is 1174627749. The last update date is 2016-10-11.
Gary Lynn Gotsch's current location address is 4205 Hobson Ct, Fort Wayne, Indiana. You can contact this provider via phone number 2604868778 and fax number 2604867679. The mailing address for Gary Lynn Gotsch is 4205 Hobson Ct, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Lynn Gotsch |
|---|---|
| Address | 4205 Hobson Ct, Fort Wayne, Indiana |
| Phone Number | 2604868778 |
| Fax Number | 2604867679 |
| Sole Proprietor | Y |
| Credentials | D.D.S, M.S |
NPI Number Detail
| NPI Number | 1174627749 |
|---|---|
| Provider Enumeration Date | 2006-09-12 |
| Last Updated Date | 2016-10-11 |
Provider Mailing Address Detail
| Address | 4205 Hobson Ct |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468158648 |
| Phone Number | 2604868778 |
| Fax Number | 2604867679 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthodontics |
|---|---|
| Taxonomy | 1223P0700X |
| Licence No | 7341 |
|
Definition: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100181210A | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Gary Lynn Gotsch by the Centers for Medicare & Medicaid Services?
The Gary Lynn Gotsch has been issued the NPI (National Provider Identifier) 1174627749, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Gary Lynn Gotsch's facilities are geographically located?
The facilities of Gary Lynn Gotsch are physically situated at the following location: 4205 Hobson Ct, Fort Wayne, IN, 468158648.
What is the Gary Lynn Gotsch's area of specialization and corresponding taxonomy classification?
The Gary Lynn Gotsch's specialty field is Prosthodontics, and it falls under the taxonomy code 1223P0700X, which categorizes healthcare providers based on their specialties.
On what date was the 1174627749 assigned to Gary Lynn Gotsch?
The Gary Lynn Gotsch was issued its 1174627749 on 2006-09-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Gary Lynn Gotsch, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Gary Lynn Gotsch, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2016-10-11.