| Gebfert-park Family Dentistry | |
|
10010 Dupont Circle Ct Fort Wayne IN 46825-1626 | |
| (260) 490-4440 | |
| Not Available |
| Full Name | Gebfert-park Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10010 Dupont Circle Ct, Fort Wayne, Indiana |
| Authorized Official Name and Position | Lawrence Park (DENTIST) |
| Authorized Official Contact | 2604904440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gebfert-park Family Dentistry 10010 Dupont Circle Ct Fort Wayne IN 46825-1626 Ph: () - | Gebfert-park Family Dentistry 10010 Dupont Circle Ct Fort Wayne IN 46825-1626 Ph: (260) 490-4440 |
| NPI Number | 1518045574 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518045574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12010099B (Indiana) | Primary |
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