| Oral & Maxillofacial Surgery Associates Pc | |
|
7845 Carnegie Blvd Fort Wayne IN 46804 | |
| (260) 969-4105 | |
| (260) 969-4118 |
| Full Name | Oral & Maxillofacial Surgery Associates Pc |
|---|---|
| Speciality | Dentist |
| Location | 7845 Carnegie Blvd, Fort Wayne, Indiana |
| Authorized Official Name and Position | Celeste C Sholl (CDA) |
| Authorized Official Contact | 2604232340 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral & Maxillofacial Surgery Associates Pc 7845 Carnegie Blvd Fort Wayne IN 46804-5792 Ph: (260) 969-4105 | Oral & Maxillofacial Surgery Associates Pc 7845 Carnegie Blvd Fort Wayne IN 46804 Ph: (260) 969-4105 |
| NPI Number | 1831264324 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 07/09/2020 |
| Medicare PECOS PAC ID | 1557430766 |
|---|---|
| Medicare Enrollment ID | O20080514000274 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831264324 | NPI | - | NPPES |
| 6185590001 | Other | IN | DME MAC |
| 6185590001 | Other | IN | NGS DME MAC |
| 200029030 | Medicaid | IN |
| Provider Name | V Jean Bradley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770535668 PECOS PAC ID: 4880596873 Enrollment ID: I20040122000190 |
| Provider Name | Steven J Butler |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1801806948 PECOS PAC ID: 2365511508 Enrollment ID: I20080515000256 |
| Provider Name | Michael J Stronczek |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1245240399 PECOS PAC ID: 9537238779 Enrollment ID: I20080515000358 |
| Provider Name | Steven R Schimmele |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1538179684 PECOS PAC ID: 6608945845 Enrollment ID: I20080515000448 |
| Provider Name | Amy A Sutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912157173 PECOS PAC ID: 9032287339 Enrollment ID: I20081013000555 |
| Provider Name | James T Oneill |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1376701045 PECOS PAC ID: 7719155936 Enrollment ID: I20110714000095 |
| Provider Name | Lucas S Reed |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1033366711 PECOS PAC ID: 7214192624 Enrollment ID: I20120711000008 |
| Provider Name | Ryan M Diepenbrock |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1942399159 PECOS PAC ID: 8022320563 Enrollment ID: I20190501001946 |
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 | |
Ipfw Dental Hygiene Clinic 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 |