Midwest Oral And Maxillofacial Surgery P C in Fort Wayne - Oral And Maxillofacial Surgery
Midwest Oral And Maxillofacial Surgery P C - NPI 1467507798
Midwest Oral And Maxillofacial Surgery P C is a Oral And Maxillofacial Surgery in Fort Wayne, Indiana. Midwest Oral And Maxillofacial Surgery P C practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Midwest Oral And Maxillofacial Surgery P C is 1467507798. The last update date is 2009-03-26.
Midwest Oral And Maxillofacial Surgery P C's current location address is 3303 Trier Rd, Fort Wayne, Indiana. You can contact this provider via phone number 2604849990 and fax number 2604846573. The mailing address for Midwest Oral And Maxillofacial Surgery P C is 3303 Trier Rd, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Midwest Oral And Maxillofacial Surgery P C |
|---|---|
| Address | 3303 Trier Rd, Fort Wayne, Indiana |
| Phone Number | 2604849990 |
| Fax Number | 2604846573 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Iczkovitz L Michael |
| Credentials | DDS |
| Telephone Number | 2604849990 |
NPI Number Detail
| NPI Number | 1467507798 |
|---|---|
| Provider Enumeration Date | 2007-01-25 |
| Last Updated Date | 2009-03-26 |
Provider Mailing Address Detail
| Address | 3303 Trier Rd |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468154768 |
| Phone Number | 2604849990 |
| Fax Number | 2604846573 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 54000677 |
|
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 |
|---|---|---|---|
| 200147450 | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Midwest Oral And Maxillofacial Surgery P C by the Centers for Medicare & Medicaid Services?
The Midwest Oral And Maxillofacial Surgery P C has been assigned the NPI (National Provider Identifier) 1467507798 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Midwest Oral And Maxillofacial Surgery P C is geographically located?
The Midwest Oral And Maxillofacial Surgery P C is physically situated at the following location: 3303 Trier Rd, Fort Wayne, IN, 468154768.
What is Midwest Oral And Maxillofacial Surgery P C's specialized field of practice, and what is the corresponding taxonomy classification code?
The Midwest Oral And Maxillofacial Surgery P C's area of specialization is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this field of practice is 1223S0112X.
On what date was the 1467507798 assigned to Midwest Oral And Maxillofacial Surgery P C?
The Midwest Oral And Maxillofacial Surgery P C was issued its 1467507798 on 2007-01-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Midwest Oral And Maxillofacial Surgery P C most recently updated or refreshed?
The details pertaining to the Midwest Oral And Maxillofacial Surgery P C, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-03-26.
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