Individual provider · Type 1 NPI

Catherine N. Periolat

General Practice Dentistry · Fort Wayne, IN

NPI number 1679762918 Active

Practice location

4626 W Jefferson Blvd
Fort Wayne, IN 46804-6897

Call (260) 432-0561 Map

Fax (260) 436-4626

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X9882 (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 1679762918

Catherine N. Periolat's National Provider Identifier is 1679762918, issued on Oct 23, 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 Oct 23, 2007.