| Holmes Family And Cosmetic Dentistry | |
|
10435 Illinois Rd Fort Wayne IN 46814-9181 | |
| (260) 469-3671 | |
| Not Available |
| Full Name | Holmes Family And Cosmetic Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10435 Illinois Rd, Fort Wayne, Indiana |
| Authorized Official Name and Position | Stephanie Moore (DIRECTOR OF REVENUE CYCLE) |
| Authorized Official Contact | 8327044262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holmes Family And Cosmetic Dentistry Po Box 8249 Carol Stream IL 60197-8249 Ph: (812) 282-1773 | Holmes Family And Cosmetic Dentistry 10435 Illinois Rd Fort Wayne IN 46814-9181 Ph: (260) 469-3671 |
| NPI Number | 1366117889 |
|---|---|
| Provider Enumeration Date | 08/16/2021 |
| Last Update Date | 07/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366117889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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