FAMILY DENTISTRY & AESTHETIC INC NPI 1457462590

NPI Information

FAMILY DENTISTRY & AESTHETIC INC is a general practice dentist in Fort Wayne, IN. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. FAMILY DENTISTRY & AESTHETIC INC NPI is 1457462590. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Thomas T Teel Thomas M Gilbert & Catherine N Periolat.

The provider's business location address is:

4626 WEST JEFFERSON BLVD
FORT WAYNE, IN
ZIP 46804
Phone: (260) 432-0561
Fax: (260) 436-4626

The provider's authorized official is Thomas T Teel .
The authorized official title is Owner President and has the following contact phone number (260) 432-0561.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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