# HEIDI J KRIDER, DDS, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Krider Dental Wellness Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326764077
- **Authorized official:** MRS. HEIDI KRIDER DDS (DENTIST/ OWNER)
- **Authorized official phone:** (260) 625-5100

## Contact information

- **Practice address:** 1001 CHESTNUT HILLS PKWY STE 5, FORT WAYNE, IN 46814-7900
- **Practice address phone:** (260) 625-5100
- **Mailing address:** 1001 CHESTNUT HILLS PKWY STE 5, FORT WAYNE, IN 46814-7900
- **Mailing address phone:** (260) 625-5100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/14/2022
- **Last updated:** 10/14/2022