Dental Consults Of Northeast Indiana, Pc in Fort Wayne - General Practice
Dental Consults Of Northeast Indiana, Pc - NPI 1568580470
Dental Consults Of Northeast Indiana, Pc is a General Practice in Fort Wayne, Indiana. Dental Consults Of Northeast Indiana, Pc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Dental Consults Of Northeast Indiana, Pc is 1568580470. The last update date is 2008-06-18.
Dental Consults Of Northeast Indiana, Pc's current location address is 11115 Lima Rd, Fort Wayne, Indiana. You can contact this provider via phone number 2604896544 and fax number 2604160544. The mailing address for Dental Consults Of Northeast Indiana, Pc is 11115 Lima Rd, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dental Consults Of Northeast Indiana, Pc |
|---|---|
| Address | 11115 Lima Rd, Fort Wayne, Indiana |
| Phone Number | 2604896544 |
| Fax Number | 2604160544 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Haller David Matthew |
| Credentials | D.M.D. |
| Telephone Number | 2604896544 |
NPI Number Detail
| NPI Number | 1568580470 |
|---|---|
| Provider Enumeration Date | 2007-03-27 |
| Last Updated Date | 2008-06-18 |
Provider Mailing Address Detail
| Address | 11115 Lima Rd |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468189536 |
| Phone Number | 2604896544 |
| Fax Number | 2604160544 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 12008792 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Post Comment/ Review Below
What is the unique identifier code issued to Dental Consults Of Northeast Indiana, Pc by the Centers for Medicare & Medicaid Services (CMS)?
The Dental Consults Of Northeast Indiana, Pc has been assigned the NPI (National Provider Identifier) 1568580470. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Dental Consults Of Northeast Indiana, Pc's facilities are geographically located?
The facilities of Dental Consults Of Northeast Indiana, Pc are physically situated at the following location: 11115 Lima Rd, Fort Wayne, IN, 468189536.
What is Dental Consults Of Northeast Indiana, Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Dental Consults Of Northeast Indiana, Pc's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date did the Dental Consults Of Northeast Indiana, Pc receive its 1568580470 assignment from the Centers for Medicare & Medicaid Services?
The Dental Consults Of Northeast Indiana, Pc was assigned its 1568580470 by the Centers for Medicare & Medicaid Services on 2007-03-27.
When was the information pertaining to Dental Consults Of Northeast Indiana, Pc most recently updated or revised?
The details related to Dental Consults Of Northeast Indiana, Pc, including its address, specialty, and other relevant information, were last updated or revised on 2008-06-18.