BOLINGER DENTAL L.L.C. NPI 1114418654

NPI Information

BOLINGER DENTAL L.L.C. is a dental clinic center in Fort Wayne, IN. BOLINGER DENTAL L.L.C. NPI is 1114418654. The provider is registered as an organization entity type.

The provider's business location address is:

5800 FAIRFIELD AVE.
SUITE 220
FORT WAYNE, IN
ZIP 46807-417
Phone: (260) 456-6073
Fax: (260) 744-9251

The provider's authorized official is Craig Bolinger .
The authorized official title is President/owner and has the following contact phone number (260) 456-6073.

The enumeration date for this NPI number is 5/21/2018 and was last updated on 5/21/2018.

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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