NPI 1780293480 · live from the CMS NPI Registry
Brian Jeffrey Hoagburg, DDS, MSD
Dentist, Orthodontics and Dentofacial Orthopedics in Fort Wayne, IN. National Provider Identifier 1780293480, active.
NPI record
| NPI | 1780293480 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 28, 2020 |
| Last updated | October 23, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 12013167A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.