# PRIORITY ENDODONTICS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Priority Endodontics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356088017
- **Authorized official:** DR. RAJAN GUPTA DDS (OWNER DENTIST)
- **Authorized official phone:** (260) 888-3502

## Contact information

- **Practice address:** 9918 ILLINOIS RD, FORT WAYNE, IN 46804-5770
- **Practice address phone:** (414) 522-7325
- **Mailing address:** 5483 COVENTRY LN APT 301, FORT WAYNE, IN 46804-7182
- **Mailing address phone:** (213) 399-0393

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | — | Yes |

## Other

- **Enumeration date:** 05/16/2022
- **Last updated:** 04/11/2024