Individual provider · Type 1 NPI

Allison Bergdoll, DDS, MS

Orthodontics and Dentofacial Orthopedics Dentistry · Fort Wayne, IN

NPI number 1013234640 Active

Practice location

2121 E Dupont Rd, Suite D
Fort Wayne, IN 46825-1546

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X12011061A (IN)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1013234640

Allison Bergdoll, DDS, MS's National Provider Identifier is 1013234640, issued on Apr 21, 2010. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Fort Wayne, IN. The record was last updated on Apr 21, 2010.