Organization · Type 2 NPI

Lifetime Dental Care of Indiana, PC

General Practice Dentistry · Fort Wayne, IN

NPI number 1336361740 Active

Practice location

2828 E State Blvd
Fort Wayne, IN 46805-4761

Fax (260) 482-6948

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

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

Other general practice dentistry providers in Fort Wayne

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NPI record

NPI: 1336361740
Entity type: Organization (Type 2)
Issued: May 3, 2007
Last updated: Nov 1, 2014
Status: Active
Subpart: Yes of Lifetime Dental Care of Indiana, PC

Other names

<unavail>
Dental Design of Fort Wayne · doing business as

Authorized official

Jennifer Hoelscher
Ins Cood
(217) 540-5100

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1336361740

Lifetime Dental Care of Indiana, PC's National Provider Identifier is 1336361740, issued on May 3, 2007. 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 Nov 1, 2014.