Timothy Jay Bussick Dds, Ms, Incorporated in Fort Wayne - Orthodontics And Dentofacial Orthopedics
Timothy Jay Bussick Dds, Ms, Incorporated - NPI 1255427480
Timothy Jay Bussick Dds, Ms, Incorporated is a Orthodontics And Dentofacial Orthopedics in Fort Wayne, Indiana. Timothy Jay Bussick Dds, Ms, Incorporated practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Timothy Jay Bussick Dds, Ms, Incorporated is 1255427480. The last update date is 2008-04-09.
Timothy Jay Bussick Dds, Ms, Incorporated's current location address is 7207 Engle Rd, Fort Wayne, Indiana. You can contact this provider via phone number 2604362255 and fax number 2604325466. The mailing address for Timothy Jay Bussick Dds, Ms, Incorporated is 7207 Engle Rd, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Timothy Jay Bussick Dds, Ms, Incorporated |
|---|---|
| Address | 7207 Engle Rd, Fort Wayne, Indiana |
| Phone Number | 2604362255 |
| Fax Number | 2604325466 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Bussick Jay Timothy |
| Credentials | DDS, MS |
| Telephone Number | 2604362255 |
NPI Number Detail
| NPI Number | 1255427480 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2008-04-09 |
Provider Mailing Address Detail
| Address | 7207 Engle Rd |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468042231 |
| Phone Number | 2604362255 |
| Fax Number | 2604325466 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 12009656 |
|
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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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Timothy Jay Bussick Dds, Ms, Incorporated by the Centers for Medicare & Medicaid Services?
The Timothy Jay Bussick Dds, Ms, Incorporated has been assigned the NPI (National Provider Identifier) 1255427480 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Timothy Jay Bussick Dds, Ms, Incorporated is physically located?
The Timothy Jay Bussick Dds, Ms, Incorporated is physically situated at the following address: 7207 Engle Rd, Fort Wayne, IN, 468042231.
What is the Timothy Jay Bussick Dds, Ms, Incorporated's specialty and taxonomy code?
The Timothy Jay Bussick Dds, Ms, Incorporated's specialty is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code is 1223X0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1255427480 to Timothy Jay Bussick Dds, Ms, Incorporated?
The Centers for Medicare & Medicaid Services assigned the 1255427480 to Timothy Jay Bussick Dds, Ms, Incorporated on 2006-10-05.
As of what date were the details related to Timothy Jay Bussick Dds, Ms, Incorporated most recently updated or revised?
The information pertaining to Timothy Jay Bussick Dds, Ms, Incorporated, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-09.
NPI Number: 1528061793
Address: 103 A South Park Dr., Brownwood, TX