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Organization

SUMMIT ORTHODONTICS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL E. THOMPSON D.D.S. (ORTHODONTIST)
(260) 485-2000
Entity
Organization

Contact information

Practice address
2801 MAPLECREST RD, FORT WAYNE, IN 46815-7015
(260) 485-2000
(260) 486-8600
Mailing address
2801 MAPLECREST RD, FORT WAYNE, IN 46815-7015
(260) 485-2000
(260) 486-8600

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12008871
IN

Other

Enumeration date
04/17/2007
Last updated
09/26/2007
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