Root Canal Specialty Services Inc in Fort Wayne - Endodontics
Root Canal Specialty Services Inc - NPI 1669589941
Root Canal Specialty Services Inc is a Endodontics in Fort Wayne, Indiana. Root Canal Specialty Services Inc practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Root Canal Specialty Services Inc is 1669589941. The last update date is 2020-08-22.
Root Canal Specialty Services Inc's current location address is 4636 W Jefferson Blvd, Fort Wayne, Indiana. You can contact this provider via phone number 2604369439 and fax number 2604369467. The mailing address for Root Canal Specialty Services Inc is 4636 W Jefferson Blvd, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Root Canal Specialty Services Inc |
|---|---|
| Address | 4636 W Jefferson Blvd, Fort Wayne, Indiana |
| Phone Number | 2604369439 |
| Fax Number | 2604369467 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Mabry Todd Robert |
| Telephone Number | 2604369439 |
NPI Number Detail
| NPI Number | 1669589941 |
|---|---|
| Provider Enumeration Date | 2006-08-24 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 4636 W Jefferson Blvd |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 46804 |
| Phone Number | 2604369439 |
| Fax Number | 2604369467 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | 8592 |
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Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
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What is the unique provider identifier assigned to Root Canal Specialty Services Inc?
The Root Canal Specialty Services Inc has been issued the NPI (National Provider Identifier) 1669589941 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Root Canal Specialty Services Inc?
The Root Canal Specialty Services Inc is physically situated at 4636 W Jefferson Blvd, in the city of Fort Wayne, state of IN, with the postal code 46804.
What is the Root Canal Specialty Services Inc's specialty and taxonomy code?
The Root Canal Specialty Services Inc's specialty is Endodontics, and the corresponding taxonomy code is 1223E0200X.
On what date did Root Canal Specialty Services Inc receive its 1669589941 assignment from the Centers for Medicare & Medicaid Services?
The Root Canal Specialty Services Inc was assigned its 1669589941 on 2006-08-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Root Canal Specialty Services Inc last refreshed?
The information related to the Root Canal Specialty Services Inc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.