Lakewood Family Dental Inc is a Dental Clinic in Fort Wayne, Indiana. It is located at 4512 Parnell Ave, Fort Wayne, IN and its contact number is 732-379-0953. The authorized person for Lakewood Family Dental Inc is Dr. Srinivasulu Kakollu
who is President of the clinic and their contact number is 732-379-0953. The primary license number for Lakewood Family Dental Inc is 019028401 (Dentist) in Illinois. Lakewood Family Dental Inc Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Lakewood Family Dental Inc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Lakewood Family Dental Inc
Specialization:
Dentistry
Clinic Address:
4512 Parnell Ave, Fort Wayne, Indiana, 46825-5836
Phone:
732-379-0953
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Srinivasulu Kakollu
Position:
President
Contact Number:
732-379-0953
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Lakewood Family Dental Inc clinic are as mentioned below.
NPI Number:
1386062768
NPI Enumeration Date:
02 Apr, 2014
NPI Last Update On:
03 Apr, 2014
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lakewood Family Dental Inc are as mentioned below.
Specialization
License Number
State
Status
Dentist
019028401
Illinois
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Lakewood Family Dental Inc 1407 N Veterans Pkwy, Suite 12 Bloomington, Illinois
Zip:
61704-6630
Phone Number:
732-379-0953
Patients can reach Lakewood Family Dental Inc at 4512 Parnell Ave, Fort Wayne, Indiana or can call to book an appointment on 732-379-0953. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.