Search › Indiana › 122300000X
Jeffrey Valliere, DDS
NPI 1528598638 · on the registry since 2017 · sole proprietor
Practice
- Address
- 1330 E State Blvd
Fort Wayne, IN 46805 - Phone
- (260) 484-5614
- Organisation at this address
- Summit City Smiles
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-01-19
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