| Charles H Middleton Dds | |
|
1234 E Dupont Rd Ste 4 Fort Wayne IN 46825-1545 | |
| (260) 484-3136 | |
| Not Available |
| Full Name | Charles H Middleton Dds |
|---|---|
| Speciality | Dentist |
| Location | 1234 E Dupont Rd Ste 4, Fort Wayne, Indiana |
| Authorized Official Name and Position | Charles H Middleton (OWNER) |
| Authorized Official Contact | 2604843136 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles H Middleton Dds 1234 E Dupont Rd Ste 4 Fort Wayne IN 46825-1545 Ph: (260) 484-3136 | Charles H Middleton Dds 1234 E Dupont Rd Ste 4 Fort Wayne IN 46825-1545 Ph: (260) 484-3136 |
| NPI Number | 1952617664 |
|---|---|
| Provider Enumeration Date | 08/19/2010 |
| Last Update Date | 08/19/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952617664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12008119 (Indiana) | Primary |
| 122300000X | Dentist | 12011467A (Indiana) | Secondary |
| 122300000X | Dentist | 12007605 (Indiana) | Secondary |
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