BDD OF INDIANA P.C. NPI 1366117889

NPI Information

  • NPI: 1366117889
  • Provider Name: BDD OF INDIANA P.C.
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Doing Business As: HOLMES FAMILY AND COSMETIC DENTISTRY
  • Address: 10435 ILLINOIS RD
    FORT WAYNE, IN
    ZIP 46814
  • Phone: (260) 469-3671

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NPI Details

BDD OF INDIANA P.C. is a general practice dentist in Fort Wayne, IN. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. BDD OF INDIANA P.C. NPI is 1366117889. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Holmes Family And Cosmetic Dentistry.

The provider's business location address is:

10435 ILLINOIS RD
FORT WAYNE, IN
ZIP 46814-181
Phone: (260) 469-3671

The provider's authorized official is Stephanie Moore .
The authorized official title is Director Of Revenue Cycle and has the following contact phone number (832) 704-4262.

The enumeration date for this NPI number is 8/16/2021 and was last updated on 7/26/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentistNo
21223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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