| Summit Orthodontics, Pc | |
|
2801 Maplecrest Rd Fort Wayne IN 46815-7015 | |
| (260) 485-2000 | |
| (260) 486-8600 |
| Full Name | Summit Orthodontics, Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2801 Maplecrest Rd, Fort Wayne, Indiana |
| Authorized Official Name and Position | Michael E. Thompson (ORTHODONTIST) |
| Authorized Official Contact | 2604852000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Orthodontics, Pc 2801 Maplecrest Rd Fort Wayne IN 46815-7015 Ph: (260) 485-2000 | Summit Orthodontics, Pc 2801 Maplecrest Rd Fort Wayne IN 46815-7015 Ph: (260) 485-2000 |
| NPI Number | 1326263948 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 09/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326263948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 12008871 (Indiana) | Primary |
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