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Fort Wayne Pediatric Dentistry Llc
Pediatric Dentist in Fort Wayne, Indiana
NPI 1689185886

Fort Wayne Pediatric Dentistry Llc is a Pediatric Dentist based in Fort Wayne, IN and is specialized in Pediatric Dentistry. Fort Wayne Pediatric Dentistry Llc practices in Fort Wayne, IN. The NPI Number for Fort Wayne Pediatric Dentistry Llc is 1689185886 and holds a License No. 12011802A (Indiana).

The current practice location address for Fort Wayne Pediatric Dentistry Llc is 10211 Dupont Circle Dr W, Fort Wayne, IN and can be reached out via phone at 260-490-5437.

Location: 10211 Dupont Circle Dr W, Fort Wayne, IN, 46845-4510
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689185886
Provider Name
Fort Wayne Pediatric Dentistry Llc
Credential
Provider Entity Type
Organization
Address
10211 Dupont Circle Dr W, Fort Wayne, IN, 46845-4510
Phone Number
260-490-5437
Fax Number
Provider Enumeration Date
10/16/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10211 Dupont Circle Dr W
City
Fort Wayne
State
Indiana
Zip
46825-1622
Phone Number
260-490-5437
Fax Number
person
Provider Business Mailing Address Details
Address
10211 Dupont Circle Dr W
City
Fort Wayne
State
Indiana
Zip
46825-1622
Phone Number
260-490-5437
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
12011802A (Indiana)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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