NPI 1659423606 · live from the CMS NPI Registry
Steven J Hoagburg, DDS, MSD
Dentist, Orthodontics and Dentofacial Orthopedics in Fort Wayne, IN. National Provider Identifier 1659423606, active.
NPI record
| NPI | 1659423606 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 5715 Maplecrest Rd, Fort Wayne, IN 46835 |
| Practice phone | 260-486-4400 |
| Enumerated | January 18, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 1200-8796 (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.