| Fort Wayne Smiles Pc | |
|
2031 Reed Road Fort Wayne IN 46815 | |
| (260) 426-1086 | |
| (260) 424-1046 |
| Full Name | Fort Wayne Smiles Pc |
|---|---|
| Speciality | Dentist |
| Location | 2031 Reed Road, Fort Wayne, Indiana |
| Authorized Official Name and Position | David Paul Reichwage (PRESIDENT) |
| Authorized Official Contact | 2604261086 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fort Wayne Smiles Pc 2031 Reed Road Fort Wayne IN 46815 Ph: (260) 426-1086 | Fort Wayne Smiles Pc 2031 Reed Road Fort Wayne IN 46815 Ph: (260) 426-1086 |
| NPI Number | 1932252772 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 02/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932252772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12006980A (Indiana) | Primary |
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