Individual provider · Type 1 NPI
Mathew Kavanaugh, DDS
Dentist · Fort Wayne, IN
Practice location
2828 E State Blvd, Suite B
Fort Wayne, IN 46805-4761
Fax (260) 482-6948
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist Primary | 122300000X | 12010783A (IN) |
Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…
4 other providers at this address
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About NPI 1780800243
Mathew Kavanaugh, DDS's National Provider Identifier is 1780800243, issued on Apr 17, 2007. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Fort Wayne, IN. The record was last updated on Jul 8, 2007.