| Thomas T Teel Thomas M Gilbert & Catherine N Periolat | |
|
4626 West Jefferson Blvd Fort Wayne IN 46804 | |
| (260) 432-0561 | |
| (260) 436-4626 |
| Full Name | Thomas T Teel Thomas M Gilbert & Catherine N Periolat |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4626 West Jefferson Blvd, Fort Wayne, Indiana |
| Authorized Official Name and Position | Thomas T Teel (OWNER PRESIDENT) |
| Authorized Official Contact | 2604320561 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas T Teel Thomas M Gilbert & Catherine N Periolat 4626 West Jefferson Blvd Fort Wayne IN 46804 Ph: (260) 432-0561 | Thomas T Teel Thomas M Gilbert & Catherine N Periolat 4626 West Jefferson Blvd Fort Wayne IN 46804 Ph: (260) 432-0561 |
| NPI Number | 1457462590 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457462590 | NPI | - | NPPES |
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