ENDODONTIC ASSOCIATES INC. NPI 1528112562

NPI Information

ENDODONTIC ASSOCIATES, INC. is an endodontics dentist in Fort Wayne, IN. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. ENDODONTIC ASSOCIATES, INC. NPI is 1528112562. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4640 W JEFFERSON BLVD
FORT WAYNE, IN
ZIP 46804-826
Phone: (260) 432-2813

The provider's authorized official is Judy E Shively .
The authorized official title is Office Manager and has the following contact phone number (260) 432-2813.

The enumeration date for this NPI number is 1/23/2007 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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