Craig Matthew Bolinger, DDS

General Practice Dentistry · Fort Wayne, IN

Individual Active NPI

NPI number 1124153325

Practice location

5800 Fairfield Ave
Suite 220
Fort Wayne, IN 46807-3400
Phone
(260) 456-6073

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NPI record

NPI
1124153325
Entity type
Individual (Type 1)
Enumeration date
February 21, 2007
Last updated
April 19, 2017
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 12010634A IN

Mailing address

11121 Eagle River Run
Fort Wayne, IN 46845-8742
Phone
(260) 484-8490

About Dr. Bolinger

Craig Matthew Bolinger, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 5800 Fairfield Ave, Suite 220, Fort Wayne, IN 46807-3400. The NPI number 1124153325 was assigned on February 21, 2007 and the record was last updated on April 19, 2017.

Dr. Bolinger lists a license in the registry: #12010634A (IN) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Craig Matthew Bolinger, DDS?

The NPI number is 1124153325.

What is the phone number of Dr. Bolinger?

The phone number listed for the practice location is (260) 456-6073.

Where is Dr. Bolinger located?

5800 Fairfield Ave, Suite 220, Fort Wayne, IN 46807-3400.

What is the taxonomy code for Dr. Bolinger?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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