| Pediatric Dental Associates Pc | |
|
7750 West Jefferson Blvd Fort Wayne IN 46804-4174 | |
| (260) 459-0903 | |
| (260) 459-0673 |
| Full Name | Pediatric Dental Associates Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 7750 West Jefferson Blvd, Fort Wayne, Indiana |
| Authorized Official Name and Position | Andrew Steven Hobbs (PRESIDENT OWNER) |
| Authorized Official Contact | 2604590903 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dental Associates Pc 7750 West Jefferson Blvd Fort Wayne IN 46804-4174 Ph: (260) 459-0903 | Pediatric Dental Associates Pc 7750 West Jefferson Blvd Fort Wayne IN 46804-4174 Ph: (260) 459-0903 |
| NPI Number | 1477678167 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477678167 | NPI | - | NPPES |
| 104667 | Other | IN | DEPTHEALTH CHILDRENS SHCS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 54001532A (Indiana) | Primary |
Glogas Family Dentistry, L.l.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 919 Florence Ave, Fort Wayne, IN 46808 Phone: 260-426-8805 Fax: 260-424-1028 | |
Valerie E Lake, Dds, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6211 Covington Rd, Fort Wayne, IN 46804 Phone: 260-432-1579 Fax: 260-432-4540 | |
Prime Dental Care Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 435 W Coliseum Blvd, Fort Wayne, IN 46805 Phone: 260-263-6200 | |
Periodontics Limited Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7750 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-432-0577 Fax: 260-432-0578 | |
Ipfw Dental Hygiene Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2101 East Coliseum Boulevard, Neff Hall Room 109, Fort Wayne, IN 46805 Phone: 260-481-6575 Fax: 260-481-4162 | |
Summit City Smiles Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1330 E State Blvd, Fort Wayne, IN 46805 Phone: 260-484-5614 | |
Harrison Dental Group Iii Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10506 Coldwater Rd, Fort Wayne, IN 46845 Phone: 260-747-4747 |