Organization
PROSPER HOLISTIC DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLYSON FEASEL DDS (DENTIST/OWNER)
(317) 607-7959
Entity
Organization
Contact information
Practice address
3030 LAKE AVE STE 15, FORT WAYNE, IN 46805-5428
(260) 888-4130
Mailing address
3030 LAKE AVE STE 15, FORT WAYNE, IN 46805-5428
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/14/2026
Last updated
04/14/2026
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