Organization · Type 2 NPI

Purdue University

Dentist · Fort Wayne, IN

NPI number 1053512004 Active

Practice location

2101 East Coliseum Boulevard, Neff Hall Room 109
Fort Wayne, IN 46805-1499

Call (260) 481-6575 Map

Fax (260) 481-4162

Mailing address

601 Stadium Mall Drive
West Lafayette, IN 47907-2052

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XNone listed

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1053512004

Purdue University's National Provider Identifier is 1053512004, issued on May 29, 2007. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Fort Wayne, IN. The record was last updated on Aug 2, 2022.