Fort Wayne Oral Maxillofacial Surgery & Implant Center, Llc
LBN: Fort Wayne Oral Maxillofacial Surgery & Implant Center, Llc
Fort Wayne Oral Maxillofacial Surgery & Implant Center, Llc is an health care organization with primary practice located at 2121 E Dupont Rd Suite #C, Fort Wayne IN 46825-1546. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty.
Fort Wayne Oral Maxillofacial Surgery & Implant Center, Llc can be contacted via phone (260) 490-2013, or through Lugakingira, Mulokozi K. via phone (260) 490-2013.
Contact Information
Primary practice address
2121 E Dupont Rd Suite #C
Fort Wayne IN 46825-1546
Phone: (260) 490-2013
Fax: (260) 490-1081
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | Indiana |
Profile Details
| NPI number | 1649347832 |
|---|---|
| LBN Legal business name | Fort Wayne Oral Maxillofacial Surgery & Implant Center, Llc |
| DBA Doing business as | |
| Authorized official | Lugakingira, Mulokozi K. DMD, MS, DDS |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 30th, 2006 |
| Last updated | Oct 7th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649347832 | NPPES |
| Indiana | MEDICAID | 201036240 |
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