David G. Slyby D.D.S. P.C.

Primary specialty

DentistTaxonomy code 122300000X

License

12010192A Issued in IN

Legal business name

DAVID G. SLYBY D.D.S. P.C.

Practice address

4606 E State Blvd
B
Fort Wayne, IN 46815-6993

Phone

(260) 484-0725

NPI assigned

Jul 25, 2006

Last updated

Jan 4, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David George Slyby, D.D.S.NPI 1134466279

Title

Owner/President

Phone

(260) 484-0725

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Slyby, D.D.S.

  • Dentist
  • Fort Wayne, IN
  • NPI 1134466279
  NPD (past) Authorized official

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357257600000",
    "number": "1215959325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4606 E STATE BLVD",
            "address_2": "B",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468156993",
            "telephone_number": "260-484-0725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4606 E STATE BLVD",
            "address_2": "B",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468156993",
            "telephone_number": "260-484-0725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID G. SLYBY D.D.S. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2013-01-04",
        "status": "A",
        "authorized_official_last_name": "SLYBY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "260-484-0725",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12010192A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200258780A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Molly Patricia Daugherty, RN
• Stephanie Daugherty
• Dean Donald Dauscher, MD
• Yasmeen Davenport
• David B. Chalfant PC (Chalfant Chiropractic Center)
• David K. Harrison DDS PC
• David K. Wysong DPM, PC
• David Kiningham, LLC (David Kiningham)
• David M. Allen D.D.S. and Associates, P.C. (afdent)
• David N Lombard, PH.D, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2013; 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.