| Heidi J Krider, Dds, Pc | |
|
1001 Chestnut Hills Pkwy Ste 5 Fort Wayne IN 46814-7900 | |
| (260) 625-5100 | |
| Not Available |
| Full Name | Heidi J Krider, Dds, Pc |
|---|---|
| Speciality | Dentist |
| Location | 1001 Chestnut Hills Pkwy Ste 5, Fort Wayne, Indiana |
| Authorized Official Name and Position | Heidi Krider (DENTIST/ OWNER) |
| Authorized Official Contact | 2606255100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heidi J Krider, Dds, Pc 1001 Chestnut Hills Pkwy Ste 5 Fort Wayne IN 46814-7900 Ph: (260) 625-5100 | Heidi J Krider, Dds, Pc 1001 Chestnut Hills Pkwy Ste 5 Fort Wayne IN 46814-7900 Ph: (260) 625-5100 |
| NPI Number | 1326764077 |
|---|---|
| Provider Enumeration Date | 10/14/2022 |
| Last Update Date | 10/14/2022 |
| Medicare PECOS PAC ID | 5698132330 |
|---|---|
| Medicare Enrollment ID | O20230612000921 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326764077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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