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Contact Information

TYLER J KIMMEL, DDS
1717 S. CALHOUN STREET
FORT WAYNE, IN46802
 Phone: 260-458-2641
 Fax: 260-458-3093
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for TYLER J KIMMEL · (Male)

NPI Number 1205272168
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 05/20/2013
Last updated 05/20/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 12011939A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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