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

FORT WAYNE ORAL MAXILLOFACIAL SURGERY & IMPLANT CENTER, LLC

Active Organization

FORT WAYNE ORAL MAXILLOFACIAL SURGERY & IMPLANT CENTER, LLC is a Oral & Maxillofacial Surgery organization located in FORT WAYNE, Indiana. NPI 1649347832 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · FORT WAYNE, IN

Registration Details

NPI Number
1649347832
Provider Type
Organization
NPI Issued
Nov 30, 2006 (19.73030536029 yrs)
Last Updated
Oct 7, 2013

Practice Information

Address
2121 E DUPONT RD
SUITE #C
FORT WAYNE, IN, 468251546
Browse IN providers · Browse ZIP 46825
Phone
2604902013
Fax
2604901081
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X
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.