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Fort Wayne Dental Group, Llc
Pediatric Dentist in Fort Wayne, Indiana
NPI 1922167188

Fort Wayne Dental Group, Llc is a Pediatric Dentist based in Fort Wayne, IN and is specialized in Pediatric Dentistry. Fort Wayne Dental Group, Llc practices in Fort Wayne, IN. The NPI Number for Fort Wayne Dental Group, Llc is 1922167188 and holds a License No. 12008127 (Indiana).

The current practice location address for Fort Wayne Dental Group, Llc is 7202 Engle Rd, Fort Wayne, IN and can be reached out via phone at 260-432-3459 and via fax at 260-436-4757.

Location: 7202 Engle Rd, Fort Wayne, IN, 46804-2222
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922167188
Provider Name
Fort Wayne Dental Group, Llc
Credential
Provider Entity Type
Organization
Address
7202 Engle Rd, Fort Wayne, IN, 46804-2222
Phone Number
260-432-3459
Fax Number
260-436-4757
Provider Enumeration Date
12/06/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
7202 Engle Rd
City
Fort Wayne
State
Indiana
Zip
46804-2222
Phone Number
260-432-3459
Fax Number
260-436-4757
person
Provider Business Mailing Address Details
Address
7202 Engle Rd
City
Fort Wayne
State
Indiana
Zip
46804-2222
Phone Number
260-432-3459
Fax Number
260-436-4757
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
12010298A (Indiana)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
12008127 (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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