| Summit Oral & Maxillofacial Surgery | |
|
10020 Dupont Circle Ct. Suite 150 Fort Wayne IN 46825-1635 | |
| (260) 451-2000 | |
| (260) 451-2200 |
| Full Name | Summit Oral & Maxillofacial Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 10020 Dupont Circle Ct., Fort Wayne, Indiana |
| Authorized Official Name and Position | James E. Dumas (ORAL SURGEON) |
| Authorized Official Contact | 2604512000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Oral & Maxillofacial Surgery 10020 Dupont Circle Ct. Suite 150 Fort Wayne IN 46825-1635 Ph: (260) 451-2000 | Summit Oral & Maxillofacial Surgery 10020 Dupont Circle Ct. Suite 150 Fort Wayne IN 46825-1635 Ph: (260) 451-2000 |
| NPI Number | 1326421637 |
|---|---|
| Provider Enumeration Date | 07/06/2015 |
| Last Update Date | 07/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326421637 | NPI | - | NPPES |
| 1700804085 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 12006094A (Indiana) | Primary |
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