NPI 1891825543 · live from the CMS NPI Registry
Angela Renee Becker, DDS MSD
Dentist, Orthodontics and Dentofacial Orthopedics in Fort Wayne, IN. National Provider Identifier 1891825543, active.
NPI record
| NPI | 1891825543 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 4638 W Jefferson Blvd, Fort Wayne, IN 46804 |
| Practice phone | 260-432-2147 |
| Enumerated | March 6, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
| Other names | Angela Pyle |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 12009655A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.