institution
Fort Wayne Oral Maxillofacial Surgery & Implant Center, Llc
Oral and Maxillofacial Surgery (Dentist) in Fort Wayne, Indiana
NPI 1649347832

Fort Wayne Oral Maxillofacial Surgery & Implant Center, Llc is a Oral and Maxillofacial Surgery (Dentist) based in Fort Wayne, IN and is specialized in Oral and Maxillofacial Surgery. Fort Wayne Oral Maxillofacial Surgery & Implant Center, Llc practices in Fort Wayne, IN. The NPI Number for Fort Wayne Oral Maxillofacial Surgery & Implant Center, Llc is 1649347832 and holds a License No. (Indiana).

The current practice location address for Fort Wayne Oral Maxillofacial Surgery & Implant Center, Llc is 2121 E Dupont Rd, Fort Wayne, IN and can be reached out via phone at 260-490-2013 and via fax at 260-490-1081.

Location: 2121 E Dupont Rd, Fort Wayne, IN, 46825-1546
institution
Provider Profile Details
NPI Number
1649347832
Provider Name
Fort Wayne Oral Maxillofacial Surgery & Implant Center, Llc
Credential
Provider Entity Type
Organization
Address
2121 E Dupont Rd, Fort Wayne, IN, 46825-1546
Phone Number
260-490-2013
Fax Number
260-490-1081
Provider Enumeration Date
11/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201036240 05 IN
institution
Provider Business Practice Location Address Details
Address
2121 E Dupont Rd
City
State
Zip
46825-1546
Phone Number
260-490-2013
Fax Number
260-490-1081
person
Provider Business Mailing Address Details
Address
2121 E Dupont Rd
City
State
Zip
46825-1546
Phone Number
260-490-2013
Fax Number
260-490-1081
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
(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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