Kool Smiles In Ft. Wayne, Pc is a dental clinic (Dentist - General Practice) in Ft. Wayne, Indiana. The current practice location for Kool Smiles In Ft. Wayne, Pc is 1852 Bluffton Road, Ft. Wayne, Indiana. For appointments, you can reach them via phone at
(260) 479-1086. The mailing address for Kool Smiles In Ft. Wayne, Pc is 1090 Northchase Pkwy Se Ste 150, Marietta, Georgia and phone number is (770) 916-5028.
Kool Smiles In Ft. Wayne, Pc is licensed to practice in * (Not Available) (license number ) and its
NPI number is 1679660278. This medical practice
does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at
(260) 479-1086.
Dental Care Clinic Profile
| Full Name | Kool Smiles In Ft. Wayne, Pc |
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| Speciality | Dentist - General Practice |
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| Location | 1852 Bluffton Road, Ft. Wayne, Indiana |
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| Authorized Official Name and Position | Tu Tran (PRESIDENT) |
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| Authorized Official Contact | 7709165036 |
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| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Kool Smiles In Ft. Wayne, Pc
1090 Northchase Pkwy Se Ste 150
Marietta
GA 30067-6407
Ph: (770) 916-5028 | Kool Smiles In Ft. Wayne, Pc
1852 Bluffton Road
Ft. Wayne
IN 46809
Ph: (260) 479-1086 |
NPI Details:
| NPI Number | 1679660278 |
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| Provider Enumeration Date | 10/06/2006 |
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| Last Update Date | 03/22/2019 |
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Medical Identifiers
Medical identifiers for Kool Smiles In Ft. Wayne, Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679660278 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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