FORT WAYNE ORAL MAXILLOFACIAL SURGERY & IMPLANT CENTER, LLC is an oral and maxillofacial surgery dentist in Fort Wayne, IN. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. FORT WAYNE ORAL MAXILLOFACIAL SURGERY & IMPLANT CENTER, LLC NPI is 1649347832. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
2121 E DUPONT RD
SUITE #C
FORT WAYNE, IN
ZIP 46825-546
Phone: (260) 490-2013
Fax: (260) 490-1081
The provider's authorized official is Mulokozi K. Lugakingira .
The authorized official title is President and has the following contact phone number (260) 490-2013.
The enumeration date for this NPI number is 11/30/2006 and was last updated on 10/7/2013.