| Fort Wayne Dental Group, Llc | |
|
7202 Engle Rd Fort Wayne IN 46804-2222 | |
| (260) 432-3459 | |
| (260) 436-4757 |
| Full Name | Fort Wayne Dental Group, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 7202 Engle Rd, Fort Wayne, Indiana |
| Authorized Official Name and Position | Brent E Mutton (OWNER) |
| Authorized Official Contact | 2604323459 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fort Wayne Dental Group, Llc 7202 Engle Rd Fort Wayne IN 46804-2222 Ph: (260) 432-3459 | Fort Wayne Dental Group, Llc 7202 Engle Rd Fort Wayne IN 46804-2222 Ph: (260) 432-3459 |
| NPI Number | 1922167188 |
|---|---|
| Provider Enumeration Date | 12/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922167188 | NPI | - | NPPES |
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