Periodontics Limited

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

PERIODONTICS LIMITED

Practice address

7750 W Jefferson Blvd
Fort Wayne, IN 46804-4174

Phone

(260) 432-0577

Fax

(260) 432-0578

NPI assigned

Oct 6, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lloyd J. Hagedorn, DDS, MSD

Title

Senior Partner

Phone

(260) 432-0577

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053408609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7750 W JEFFERSON BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044174",
            "telephone_number": "260-432-0577",
            "fax_number": "260-432-0578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7750 W JEFFERSON BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044174",
            "telephone_number": "260-432-0577",
            "fax_number": "260-432-0578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERIODONTICS LIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAGEDORN",
        "authorized_official_first_name": "LLOYD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "SENIOR PARTNER",
        "authorized_official_telephone_number": "260-432-0577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Perez, CP
• Naskar Perez
• Pablo M Perez, MD
• Rogelio Perez, MD
• Periodontic Specialists, P.C.
• Catherine N Periolat
• Abhilash Perisetti, M.D
• Chakqwuona Perkins Rush
• Elizabeth L Perkins, PT, DPT
• Genna Marianna Perkins, NP

• Periodontics in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Periodontics in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.