Organization · Type 2 NPI
Summit City Smiles
Dental Clinic/Center · Fort Wayne, IN
NPI number
1083080386
Active
Practice location
1330 E State Blvd
Fort Wayne, IN 46805-4422
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
4 other providers at this address
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About NPI 1083080386
Summit City Smiles's National Provider Identifier is 1083080386, issued on Aug 20, 2015. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Fort Wayne, IN. The record was last updated on Aug 20, 2015.