Kool Smiles in Ft. Wayne, PC
Organization Active NPI General Practice Dentistry · Ft. Wayne, IN
NPI 1679660278 · NPPES record last updated Mar 22, 2019
Key facts
- NPI
- 1679660278
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- KOOL SMILES IN FT. WAYNE, PC
- Practice address
- 1852 Bluffton Road
Ft. Wayne, IN 46809 - Phone
- (260) 479-1086
- Fax
- (260) 478-4678
- NPI assigned
- Oct 6, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Tu Tran, DDS
- Title
- President
- Phone
- (770) 916-5036
Practitioners 4
-
Doreen Y Agyeman, DMD
-
Kent Gross, DDS
-
Ajay Joshi, DDS
National Provider Directory
Locations
1852 Bluffton Rd
Fort Wayne, IN 46809
Phone (260) 479-1086
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics |
1223E0200X | |||
| General Practice Dentistry |
1223G0001X | Yes | ||
| Oral and Maxillofacial Surgery (Dentist) |
1223S0112X |
Addresses
Primary practice location
1852 Bluffton Road
Ft. Wayne, IN 46809
Mailing address
1090 Northchase Pkwy SE Ste 150
Marietta, GA 30067-6407
Phone (770) 916-5028
Other names
- Pippin Dental
Other providers in Ft. Wayne, IN
- Geethadevi Koneru
- Rebecca Konkin
- Alyssa Konopasek
- Daniel R Konow
- Stephen Alexander Konz
- Lisa Koop
- Christine M Koors
- Samantha Koos
- Lauren M Kopicky
- Zsanett Kormanyos
All providers in Ft. Wayne, IN · General Practice Dentistry in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.