# FORT WAYNE SMILES PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** David P Reichwage DDS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932252772
- **Authorized official:** DR. DAVID PAUL REICHWAGE (PRESIDENT)
- **Authorized official phone:** (260) 426-1086

## Contact information

- **Practice address:** 2031 REED ROAD, FORT WAYNE, IN 46815
- **Practice address phone:** (260) 426-1086
- **Practice address fax:** (260) 424-1046
- **Mailing address:** 2031 REED ROAD, FORT WAYNE, IN 46815
- **Mailing address phone:** (260) 426-1086
- **Mailing address fax:** (260) 424-1046

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12006980A | IN | Yes |

## Other

- **Enumeration date:** 01/18/2007
- **Last updated:** 02/06/2008