SearchIndiana133N00000X

Thomas Pequignot, DDS CCN

NPI 1245665520 · on the registry since 2013 · sole proprietor

Practice

Address
11017 Bittersweet Dells Ln
Fort Wayne, IN 46814
Phone
(260) 672-3266
Fax
(260) 672-3266

Registry record

Primary taxonomy
133N00000X
133N00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-09-05

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