Bradford H Korn Dds, Inc. in Fort Wayne - Dental
Bradford H Korn Dds, Inc. - NPI 1891883633
Bradford H Korn Dds, Inc. is a Dental in Fort Wayne, Indiana. Bradford H Korn Dds, Inc. practices all healthcare services and medical treatments related to Dental. The NPI Number for Bradford H Korn Dds, Inc. is 1891883633. The last update date is 2020-08-22.
Bradford H Korn Dds, Inc.'s current location address is 4656 W Jefferson Blvd, Fort Wayne, Indiana. You can contact this provider via phone number 2604323588 and fax number 2604590729. The mailing address for Bradford H Korn Dds, Inc. is 4656 W Jefferson Blvd, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bradford H Korn Dds, Inc. |
|---|---|
| Address | 4656 W Jefferson Blvd, Fort Wayne, Indiana |
| Phone Number | 2604323588 |
| Fax Number | 2604590729 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Korn Henry Bradford |
| Credentials | DDS |
| Telephone Number | 2604323588 |
NPI Number Detail
| NPI Number | 1891883633 |
|---|---|
| Provider Enumeration Date | 2006-10-10 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 4656 W Jefferson Blvd |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468046857 |
| Phone Number | 2604323588 |
| Fax Number | 2604590729 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
| Licence No | 12007256 |
|
Definition: Provides general and specialized dental care and oral surgery. |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Bradford H Korn Dds, Inc. by the Centers for Medicare & Medicaid Services?
The Bradford H Korn Dds, Inc. has been issued the NPI (National Provider Identifier) 1891883633 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Bradford H Korn Dds, Inc.'s physical address?
The Bradford H Korn Dds, Inc. is physically located at 4656 W Jefferson Blvd, in the city of Fort Wayne, IN, with the postal code 468046857.
What is the area of specialization for Bradford H Korn Dds, Inc., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Bradford H Korn Dds, Inc. is Dental, and the corresponding taxonomy code that categorizes this area of expertise is 261Qd0000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1891883633 to Bradford H Korn Dds, Inc.?
The Centers for Medicare & Medicaid Services assigned the 1891883633 to Bradford H Korn Dds, Inc. on 2006-10-10.
As of what date were the details related to Bradford H Korn Dds, Inc. most recently updated or revised?
The information pertaining to Bradford H Korn Dds, Inc., including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.