Fort Wayne Endodontics

LBN: Fort Wayne Endodontics
Fort Wayne Endodontics is an health care organization with primary practice located at 9407 Illinois Rd , Fort Wayne IN 46804. The organization recently has only one registered license in Dental Providers / Endodontics, which is considered as the primary health care specialty. Fort Wayne Endodontics can be contacted via phone (260) 436-5772, or through Glassley, Jason P via phone (260) 436-5772.

Contact Information

Primary practice address
9407 Illinois Rd Fort Wayne IN 46804
Phone: (260) 436-5772
Fax: (260) 436-5779
Website:
Map and Directions
Authorized official contact:
Name: Glassley, Jason P DDS, MSD
Phone: (260) 436-5772

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X

Profile Details

NPI number 1083265433
LBN Legal business name Fort Wayne Endodontics
DBA Doing business as
Authorized official Glassley, Jason P DDS, MSD
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2019
Last updated Sep 26th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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