Periodontics Limited in Fort Wayne - Periodontics
Periodontics Limited - NPI 1053408609
Periodontics Limited is a Periodontics in Fort Wayne, Indiana. Periodontics Limited practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Periodontics Limited is 1053408609. The last update date is 2020-08-22.
Periodontics Limited's current location address is 7750 W Jefferson Blvd, Fort Wayne, Indiana. You can contact this provider via phone number 2604320577 and fax number 2604320578. The mailing address for Periodontics Limited is 7750 W Jefferson Blvd, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Periodontics Limited |
|---|---|
| Address | 7750 W Jefferson Blvd, Fort Wayne, Indiana |
| Phone Number | 2604320577 |
| Fax Number | 2604320578 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SENIOR PAR |
|---|---|
| Authorized Official Name | Hagedorn J. Lloyd |
| Credentials | DDS, MSD |
| Telephone Number | 2604320577 |
NPI Number Detail
| NPI Number | 1053408609 |
|---|---|
| Provider Enumeration Date | 2006-10-06 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 7750 W Jefferson Blvd |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468044174 |
| Phone Number | 2604320577 |
| Fax Number | 2604320578 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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What is the Periodontics Limited's 1053408609?
The Periodontics Limited's NPI (National Provider Identifier) Number is 1053408609. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
What is the unique identifier code issued to Periodontics Limited by the Centers for Medicare & Medicaid Services (CMS)?
The Periodontics Limited has been assigned the NPI (National Provider Identifier) 1053408609. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Periodontics Limited located?
The Periodontics Limited is located at 7750 W Jefferson Blvd, Fort Wayne, IN 468044174.
Could you please provide the complete physical location address of Periodontics Limited?
The Periodontics Limited is physically situated at 7750 W Jefferson Blvd, in the city of Fort Wayne, state of IN, with the postal code 468044174.
When was the information pertaining to Periodontics Limited most recently updated or revised?
The details related to Periodontics Limited, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.