NPI 1669219630 · live from the CMS NPI Registry
Rachel Hoagburg, DMD, MSD
Dentist, Orthodontics and Dentofacial Orthopedics in Fort Wayne, IN. National Provider Identifier 1669219630, active.
NPI record
| NPI | 1669219630 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 9409 Illinois Rd, Fort Wayne, IN 46804 |
| Practice phone | 260-486-4400 |
| Enumerated | July 9, 2024 |
| Last updated | July 15, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 12014450A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.