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NPI Profile for Dr GARY L GOTSCH in FORT WAYNE, IN.
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Prosthodontics |
1223P0700X | |||
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company |
| NPI Number | 1174627749 |
|
| Status | Active | |
| Credentials | D.D.S, M.S.D. | |
| Entity | Individual | |
| Enumeration date | 09/12/2006 | |
| Last updated | 10/11/2016 - About 10 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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GARY L GOTSCH
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GARY L GOTSCH, D.D.S, M.S.D.