Jie Li is a Fort Wayne, Indiana based Dentist who is specialized in Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Jie Li is 13006783A for Dentistry in Indiana. Her current practice location is 1717 S Calhoun St, Fort Wayne. Patients can reach her at 260-458-2641.
Jie Li is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Jie Li speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Jie Li
Specialization:
Dentist
Gender:
Female
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
1717 S Calhoun St, Fort Wayne, Indiana, 46802-5257
Phone:
260-458-2641
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 are as mentioned below.
NPI Number:
1609457100
NPI Enumeration Date:
16 Apr, 2021
NPI Last Update On:
16 Apr, 2021
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jie Li are as mentioned below.
License Number
Specialization
State
Status
13006783A
Dentistry
Indiana
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Jie Li such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
13006783A
Other
Indiana
LICENSE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
6903 Vistamere Way, Indianapolis, Indiana
Zip:
46250-4156
Phone Number:
317-750-3981
Patients can reach Jie Li at 1717 S Calhoun St, Fort Wayne, Indiana or can call to book an appointment on 260-458-2641. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.