Search › Indiana › 122300000X
Suresh Vegesana, D.D.S
NPI 1063724805 · on the registry since 2010
Practice
- Address
- 4512 Parnell Ave
Fort Wayne, IN 46825 - Phone
- (260) 399-1333
- Fax
- (260) 755-3271
- Organisation at this address
- Lakewood Family Dental Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 122300000X
- Licence states on file
- IL, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-05-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana