Organization · Type 2 NPI

Fort Wayne Pediatric Dentistry LLC

Pediatric Dentistry · Fort Wayne, IN

NPI number 1689185886 Active

Practice location

10211 Dupont Circle Dr W
Fort Wayne, IN 46825-1622

Call (260) 490-5437 Map

Mailing address

378 Elderwood Ct
Fort Wayne, IN 46845-4510

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X12011802A (IN)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1689185886

Fort Wayne Pediatric Dentistry LLC's National Provider Identifier is 1689185886, issued on Oct 16, 2017. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Fort Wayne, IN. The record was last updated on Oct 16, 2017.