David G Bojrab in Fort Wayne - Oral And Maxillofacial Surgery
David G Bojrab - NPI 1487664512
David G Bojrab is a Oral And Maxillofacial Surgery in Fort Wayne, Indiana. David G Bojrab practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for David G Bojrab is 1487664512. The last update date is 2009-04-22.
David G Bojrab's current location address is 4606 D East State Blvd, Fort Wayne, Indiana. You can contact this provider via phone number 2604232340 and fax number 2604225342. The mailing address for David G Bojrab is 4606 D East State Blvd, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David G Bojrab |
|---|---|
| Address | 4606 D East State Blvd, Fort Wayne, Indiana |
| Phone Number | 2604232340 |
| Fax Number | 2604225342 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1487664512 |
|---|---|
| Provider Enumeration Date | 2006-08-09 |
| Last Updated Date | 2009-04-22 |
Provider Mailing Address Detail
| Address | 4606 D East State Blvd |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468156963 |
| Phone Number | 2604232340 |
| Fax Number | 2604225342 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 126179 |
|
Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6185590001 | IN | NGS DME MAC | |
| 6185590001 | IN | DME MAC | |
| 200029030 | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to David G Bojrab by the Centers for Medicare & Medicaid Services?
The David G Bojrab has been issued the NPI (National Provider Identifier) 1487664512 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of David G Bojrab?
The David G Bojrab is situated at 4606 D East State Blvd, in the city of Fort Wayne, state of IN, with the zip code 468156963.
What is David G Bojrab's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The David G Bojrab's specialized field of practice is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 1223S0112X.
When did David G Bojrab receive its 1487664512 assignment?
The David G Bojrab was assigned its 1487664512 on 2006-08-09, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to David G Bojrab most recently updated or revised?
The information pertaining to David G Bojrab, including its address, specialty, and other relevant details, was last updated or revised on 2009-04-22.
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