Jon D. Ingleman in Fort Wayne - Orthodontics And Dentofacial Orthopedics

Jon D. Ingleman - NPI 1114140134

Jon D. Ingleman is a Orthodontics And Dentofacial Orthopedics in Fort Wayne, Indiana. Jon D. Ingleman practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Jon D. Ingleman is 1114140134. The last update date is 2007-07-08.

Jon D. Ingleman's current location address is 223 E Tillman Rd, Fort Wayne, Indiana. You can contact this provider via phone number 2604472568 and fax number 2604471601. The mailing address for Jon D. Ingleman is 223 E Tillman Rd, Fort Wayne, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Jon D. Ingleman
Address 223 E Tillman Rd, Fort Wayne, Indiana
Phone Number 2604472568
Fax Number 2604471601
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1114140134
Provider Enumeration Date 2007-04-10
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 223 E Tillman Rd
City Fort Wayne
State Indiana (IN)
Post Code 468161016
Phone Number 2604472568
Fax Number 2604471601

Provider's Primary Taxonomy Detail

Speciality Orthodontics And Dentofacial Orthopedics
Taxonomy 1223X0400X
Licence No 12006305B
Definition:
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel

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FAQs about Jon D. Ingleman

What is the unique identification code assigned to Jon D. Ingleman by the Centers for Medicare & Medicaid Services?

The Jon D. Ingleman has been issued the NPI (National Provider Identifier) 1114140134. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Jon D. Ingleman is located?

The Jon D. Ingleman is situated at the following address: 223 E Tillman Rd, Fort Wayne, IN, 468161016.

What is the area of specialization for Jon D. Ingleman, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jon D. Ingleman is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this area of expertise is 1223X0400X.

On what date did the Centers for Medicare & Medicaid Services assign the 1114140134 to Jon D. Ingleman?

The Centers for Medicare & Medicaid Services assigned the 1114140134 to Jon D. Ingleman on 2007-04-10.

When was the information regarding Jon D. Ingleman, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Jon D. Ingleman, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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