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

DR. MARVIN PRESTON EADY JR., DDS

Active

DR. MARVIN PRESTON EADY JR., DDS is a General Dentistry healthcare provider located in FORT WAYNE, Indiana. NPI 1457331332 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · FORT WAYNE, IN

Registration Details

NPI Number
1457331332
Provider Type
Individual
Gender
Male
NPI Issued
Jan 18, 2006 (20.535271615314 yrs)
Last Updated
Jul 9, 2007
License
12009115A (IN)

Practice Information

Address
4646 W JEFFERSON BLVD
SUITE 140
FORT WAYNE, IN, 468046842
Browse IN providers · Browse ZIP 46804
Phone
2604591415
Fax
2604591419
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in FORT WAYNE, IN

Name Credential NPI
DR. DOUGLAS F REED D.D.S. 1679575914
DR. MULOKOZI K LUGAKINGIRA DMD, DDS, MS. 1790787695
DR. RICHARD ALLEN LOLKUS DDS 1891776076
MR. EDWIN ARNOLD ERRINGTON DDS 1568424513
DR. STEVEN CHARLES SALKELD D.D.S. 1851353601
STEVEN RICHARD CLUTE DDS 1063461796
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.