| Bolinger Dental L.l.c. | |
|
5800 Fairfield Ave. Suite 220 Fort Wayne IN 46807-3417 | |
| (260) 456-6073 | |
| (260) 744-9251 |
| Full Name | Bolinger Dental L.l.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5800 Fairfield Ave., Fort Wayne, Indiana |
| Authorized Official Name and Position | Craig Bolinger (PRESIDENT/OWNER) |
| Authorized Official Contact | 2604566073 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bolinger Dental L.l.c. 5800 Fairfield Ave. Suite 220 Fort Wayne IN 46807-3417 Ph: (260) 456-6073 | Bolinger Dental L.l.c. 5800 Fairfield Ave. Suite 220 Fort Wayne IN 46807-3417 Ph: (260) 456-6073 |
| NPI Number | 1114418654 |
|---|---|
| Provider Enumeration Date | 05/21/2018 |
| Last Update Date | 05/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114418654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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