Organization
TIMOTHY JAY BUSSICK DDS, MS, INCORPORATED
Active
Organization
TIMOTHY JAY BUSSICK DDS, MS, INCORPORATED
Active
Other names
Bussick Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY JAY BUSSICK DDS, MS (PRESIDENT/CEO)
(260) 436-2255
Entity
Organization
Contact information
Practice address
7207 ENGLE RD, FORT WAYNE, IN 46804-2231
(260) 436-2255
(260) 432-5466
Mailing address
7207 ENGLE RD, FORT WAYNE, IN 46804-2231
(260) 436-2255
(260) 432-5466
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12009656
IN
Other
Enumeration date
10/05/2006
Last updated
04/09/2008
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