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Midwest Oral And Maxillofacial Surgery P C
Oral and Maxillofacial Surgery (Dentist) in Fort Wayne, Indiana
NPI 1558416883

Midwest Oral And Maxillofacial Surgery P C is a Oral and Maxillofacial Surgery (Dentist) based in Fort Wayne, IN and is specialized in Oral and Maxillofacial Surgery. Midwest Oral And Maxillofacial Surgery P C practices in Fort Wayne, IN. The NPI Number for Midwest Oral And Maxillofacial Surgery P C is 1558416883 and holds a License No. 54000677 (Indiana).

The current practice location address for Midwest Oral And Maxillofacial Surgery P C is 7230 Engle Rd, Fort Wayne, IN and can be reached out via phone at 260-432-5566 and via fax at 260-432-5567.

Location: 7230 Engle Rd, Fort Wayne, IN, 46815-4768
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1558416883
Provider Name
Midwest Oral And Maxillofacial Surgery P C
Credential
Provider Entity Type
Organization
Address
7230 Engle Rd, Fort Wayne, IN, 46815-4768
Phone Number
260-432-5566
Fax Number
260-432-5567
Provider Enumeration Date
01/25/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200147450 05 IN
institution
Provider Business Practice Location Address Details
Address
7230 Engle Rd
City
Fort Wayne
State
Indiana
Zip
46804-2209
Phone Number
260-432-5566
Fax Number
260-432-5567
person
Provider Business Mailing Address Details
Address
7230 Engle Rd
City
Fort Wayne
State
Indiana
Zip
46804-2209
Phone Number
260-432-5566
Fax Number
260-432-5567
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
54000677 (Indiana)
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.
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