Doctor Eady Family Dentistry, P.c.
NPI #1548709900 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1548709900
- Entity Type
- Organization
- Organization Name
- Doctor Eady Family Dentistry, P.c.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 17, 2017
- Last Updated
- Feb 17, 2017
Practice Location
- Address
- 4646 W JEFFERSON BLVD
- Address 2
- SUITE 140
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46804-6842
- Phone
- (260) 459-1415
Authorized Official
- Name
- DR. MARVIN PRESTON EADY JR., DDS
- Title
- PRESIDENT
- Phone
- (260) 459-1415
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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