| Timothy Jay Bussick Dds, Ms, Incorporated | |
|
7207 Engle Rd Fort Wayne IN 46804-2231 | |
| (260) 436-2255 | |
| (260) 432-5466 |
| Full Name | Timothy Jay Bussick Dds, Ms, Incorporated |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 7207 Engle Rd, Fort Wayne, Indiana |
| Authorized Official Name and Position | Timothy Jay Bussick (PRESIDENT/CEO) |
| Authorized Official Contact | 2604362255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Jay Bussick Dds, Ms, Incorporated 7207 Engle Rd Fort Wayne IN 46804-2231 Ph: (260) 436-2255 | Timothy Jay Bussick Dds, Ms, Incorporated 7207 Engle Rd Fort Wayne IN 46804-2231 Ph: (260) 436-2255 |
| NPI Number | 1255427480 |
|---|---|
| Provider Enumeration Date | 10/05/2006 |
| Last Update Date | 04/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255427480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 12009656 (Indiana) | Primary |
Glogas Family Dentistry, L.l.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 919 Florence Ave, Fort Wayne, IN 46808 Phone: 260-426-8805 Fax: 260-424-1028 | |
Valerie E Lake, Dds, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6211 Covington Rd, Fort Wayne, IN 46804 Phone: 260-432-1579 Fax: 260-432-4540 | |
Prime Dental Care Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 435 W Coliseum Blvd, Fort Wayne, IN 46805 Phone: 260-263-6200 | |
Periodontics Limited Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7750 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-432-0577 Fax: 260-432-0578 | |
Purdue University Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2101 East Coliseum Boulevard, Neff Hall Room 109, Fort Wayne, IN 46805 Phone: 260-481-6575 Fax: 260-481-4162 | |
Summit City Smiles Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1330 E State Blvd, Fort Wayne, IN 46805 Phone: 260-484-5614 | |
Harrison Dental Group Iii Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10506 Coldwater Rd, Fort Wayne, IN 46845 Phone: 260-747-4747 |