DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PURDUE UNIVERSITY

Active Organization

PURDUE UNIVERSITY is a Dentist organization located in FORT WAYNE, Indiana. NPI 1053512004 is currently active in the NPPES registry. Verify at CMS.

Dentist · FORT WAYNE, IN

Registration Details

NPI Number
1053512004
Provider Type
Organization
NPI Issued
May 29, 2007 (19.211414168544 yrs)
Last Updated
Aug 2, 2022

Practice Information

Address
2101 EAST COLISEUM BOULEVARD
NEFF HALL ROOM 109
FORT WAYNE, IN, 468051499
Browse IN providers · Browse ZIP 46805
Phone
2604816575
Fax
2604814162
Primary Specialty
Dentist
122300000X

Other Dentist Organizations in FORT WAYNE, IN

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.