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Contact Information

MAPLE DENTAL DDS PC
6418 EST STATE BOULEVARD
STORE #23
FORTWAYNE, IN46815
 Phone: 260-601-3300
 Fax: 833-563-2510
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for MAPLE DENTAL DDS PC

NPI # 1609606185
LBN Legal business name MAPLE DENTAL DDS PC
Authorized official GURPREET KAUR - (DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 08/07/2024
Last updated 04/23/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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