| Dr Josiah Michael Smith, DDS | |
|
7845 Carnegie Blvd, Fort Wayne, IN 46804-5792 | |
| (260) 969-4113 | |
| (260) 969-4109 |
| Full Name | Dr Josiah Michael Smith |
|---|---|
| Gender | Male |
| Speciality | Oral Surgery |
| Experience | 1 Years |
| Location | 7845 Carnegie Blvd, Fort Wayne, Indiana |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700347168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 12013141A (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Oral And Maxillofacial Surgery Associates Pc | 1557430766 | 6 |
| Entity Name | Indiana University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689790552 PECOS PAC ID: 6002806957 Enrollment ID: O20040602001625 |
| Entity Name | Oral & Maxillofacial Surgery Associates PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831264324 PECOS PAC ID: 1557430766 Enrollment ID: O20080514000274 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Josiah Michael Smith, DDS 7845 Carnegie Blvd, Fort Wayne, IN 46804-5792 Ph: (260) 969-4113 | Dr Josiah Michael Smith, DDS 7845 Carnegie Blvd, Fort Wayne, IN 46804-5792 Ph: (260) 969-4113 |
Dr. Bryan David Braasch, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 6821 Woodcrest Dr, Fort Wayne, IN 46815 Phone: 260-417-4981 |
Dr. Bryan Mcguigan Thompson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5108 N Clinton St, Fort Wayne, IN 46825 Phone: 260-482-1551 Fax: 260-484-4537 |
James A Shupe Jr., DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3030 Lake Ave, Suite 15, Fort Wayne, IN 46805 Phone: 260-422-8419 Fax: 260-422-3591 |
Dr. Roger Paul Valliere, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1330 E State Blvd, Fort Wayne, IN 46805 Phone: 260-484-5614 |
Dr. Lora Wonderly, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 4616 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-432-8596 |
Dr. Allison Bergdoll, DDS, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2121 E Dupont Rd, Suite D, Fort Wayne, IN 46825 Phone: 260-490-3554 |
Matthew Gotsch, DDS Dentist Medicare: Medicare Enrolled Practice Location: 919 Florence Ave, Fort Wayne, IN 46808 Phone: 260-632-8486 |