| Lima Road Dentistry | |
|
9019 Lima Rd Fort Wayne IN 46818-1801 | |
| (260) 489-4090 | |
| Not Available |
| Full Name | Lima Road Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9019 Lima Rd, Fort Wayne, Indiana |
| Authorized Official Name and Position | Opal Anderson (COO) |
| Authorized Official Contact | 2604894090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lima Road Dentistry 9019 Lima Rd Fort Wayne IN 46818-1801 Ph: (260) 489-4090 | Lima Road Dentistry 9019 Lima Rd Fort Wayne IN 46818-1801 Ph: (260) 489-4090 |
| NPI Number | 1710548326 |
|---|---|
| Provider Enumeration Date | 06/25/2019 |
| Last Update Date | 07/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710548326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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