Individual
DR. STEPHEN REGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7207 ENGLE RD, FORT WAYNE, IN 46804-2231
(260) 434-0099
(260) 434-0799
Mailing address
9121 ILLINOIS RD, FORT WAYNE, IN 46804-5753
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010562A
IN
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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