Individual provider · Type 1 NPI

Lora Wonderly, DMD

General Practice Dentistry · Fort Wayne, IN

NPI number 1013207265 Active

Practice location

4616 W Jefferson Blvd
Fort Wayne, IN 46804-6826

Call (260) 432-8596 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X12011879A (IN)
General Practice Dentistry 1223G0001X30.023620 (OH)

General Practice Dentistry: 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.

4 other providers at this address

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About NPI 1013207265

Lora Wonderly, DMD's National Provider Identifier is 1013207265, issued on Apr 8, 2011. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Fort Wayne, IN. The record was last updated on Jul 13, 2016.