Individual provider · Type 1 NPI

David G. Bojrab, DDS

Oral and Maxillofacial Surgery (Dentist) · Fort Wayne, IN

NPI number 1487664512 Active

Practice location

4606 D East State Blvd
Fort Wayne, IN 46815

Fax (260) 422-5342

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X126179 (IN)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1487664512

David G. Bojrab, DDS's National Provider Identifier is 1487664512, issued on Aug 9, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Fort Wayne, IN. The record was last updated on Apr 22, 2009.