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GARY L. GOTSCH DDS MSD NPI 1578732020


NPI Information

NPI: 1578732020
Provider Name: GARY L. GOTSCH DDS MSD
Classification: Dentist - 1223P0700X
Entity Type: Organization

Specialization: Prosthodontics

Address:
4205 HOBSON CT
FORT WAYNE, IN
ZIP 46815
Phone: (260) 486-8778
Get Directions

GARY L. GOTSCH DDS MSD is a prosthodontics dentist in Fort Wayne, IN. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. GARY L. GOTSCH DDS MSD NPI is 1578732020. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4205 HOBSON CT
FORT WAYNE, IN
ZIP 46815-648
Phone: (260) 486-8778
Fax: (260) 486-7679

The provider's authorized official is Gary L Gotsch .
The authorized official title is Doctor and has the following contact phone number (260) 486-8778.

The enumeration date for this NPI number is 2/28/2008 and was last updated on 7/2/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0700XDentistProsthodonticsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10216990001MEDICARE NSCINDIANA

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

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