Individual provider · Type 1 NPI

Brett Michael Disalle, DDS

General Practice Dentistry · Fort Wayne, IN

NPI number 1609962646 Active

Practice location

2121 Lake Ave
Fort Wayne, IN 46805-5100

Call (260) 460-1353 Map

Fax (260) 460-1308

Mailing address

430 Augusta Way
Fort Wayne, IN 46825-2175

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X12009812 (IN)

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.

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About NPI 1609962646

Brett Michael Disalle, DDS's National Provider Identifier is 1609962646, issued on Oct 5, 2006. 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 Jul 8, 2007.