Catherine N. Periolat

General Practice Dentistry · Fort Wayne, IN

Individual Active NPI

NPI number 1679762918

Practice location

4626 W Jefferson Blvd
Fort Wayne, IN 46804-6897
Phone
(260) 432-0561
Fax
(260) 436-4626

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NPI record

NPI
1679762918
Entity type
Individual (Type 1)
Enumeration date
October 23, 2007
Last updated
October 23, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 9882 IN

About Catherine Periolat

Catherine N. Periolat is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 4626 W Jefferson Blvd, Fort Wayne, IN 46804-6897. The NPI number 1679762918 was assigned on October 23, 2007 and the record was last updated on October 23, 2007.

Catherine Periolat lists a license in the registry: #9882 (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 Catherine N. Periolat?

The NPI number is 1679762918.

What is the phone number of Catherine Periolat?

The phone number listed for the practice location is (260) 432-0561.

Where is Catherine Periolat located?

4626 W Jefferson Blvd, Fort Wayne, IN 46804-6897.

What is the taxonomy code for Catherine Periolat?

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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