Kool Smiles in Ft. Wayne, PC
General Practice Dentistry · Ft. Wayne, IN
Practice location
1852 Bluffton RoadFt. Wayne, IN 46809
- Phone
- (260) 479-1086
- Fax
- (260) 478-4678
NPI record
- NPI
- 1679660278
- Entity type
- Organization (Type 2)
- Enumeration date
- October 6, 2006
- Last updated
- March 22, 2019
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
— | — |
| Endodontics | 1223E0200X |
— | — |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X |
— | — |
Mailing address
1090 Northchase Pkwy SE Ste 150Marietta, GA 30067-6407
- Phone
- (770) 916-5028
- Fax
- (678) 247-7858
Authorized official
- Name
- Dr. Tu Tran, DDS
- Title
- President
- Phone
- (770) 916-5036
Other names
- Pippin Dental
About Kool Smiles in Ft. Wayne, PC
Kool Smiles in Ft. Wayne, PC is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1852 Bluffton Road, Ft. Wayne, IN 46809. The NPI number 1679660278 was assigned on October 6, 2006 and the record was last updated on March 22, 2019.
The authorized official for this organization is Dr. Tu Tran, DDS, President.
Frequently asked questions
What is the NPI number of Kool Smiles in Ft. Wayne, PC?
The NPI number is 1679660278.
What is the phone number of Kool Smiles in Ft. Wayne, PC?
The phone number listed for the practice location is (260) 479-1086.
Where is Kool Smiles in Ft. Wayne, PC located?
1852 Bluffton Road, Ft. Wayne, IN 46809.
What is the taxonomy code for Kool Smiles in Ft. Wayne, PC?
The primary taxonomy code is 1223G0001X – General Practice Dentistry; 2 more listed above.
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.