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

FAMILY DENTISTRY & AESTHETIC INC

Active Organization

FAMILY DENTISTRY & AESTHETIC INC is a General Dentistry organization located in FORT WAYNE, Indiana. NPI 1457462590 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · FORT WAYNE, IN

Registration Details

NPI Number
1457462590
Provider Type
Organization
NPI Issued
Aug 31, 2006 (19.773407837023 yrs)
Last Updated
Aug 22, 2020
Licenses
9047 (IN)
9757 (IN)
12009882 (IN)

Practice Information

Address
4626 WEST JEFFERSON BLVD
FORT WAYNE, IN, 46804
Browse IN providers · Browse ZIP 46804
Phone
2604320561
Fax
2604364626
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
General Dentistry
Additional Specialty
General Dentistry

Other General Dentistry 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.