DR. CATHERINE N PERIOLAT NPI 1679762918

NPI Information

NPI: 1679762918
Provider Name: DR. CATHERINE N PERIOLAT
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
4626 W JEFFERSON BLVD
FORT WAYNE, IN
ZIP 46804
Phone: (260) 432-0561
Get Directions

DR. Catherine N Periolat 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. DR. Catherine N Periolat NPI is 1679762918. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4626 W JEFFERSON BLVD
FORT WAYNE, IN
ZIP 46804-897
Phone: (260) 432-0561
Fax: (260) 436-4626

The enumeration date for this NPI number is 10/23/2007 and was last updated on 10/23/2007.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	9882	INDIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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