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Search › Indiana › General Practice Dentistry

Brett Disalle, DDS

NPI 1609962646 · on the registry since 2006

Practice

Address
2121 Lake Ave
Fort Wayne, IN 46805
Phone
(260) 460-1353
Fax
(260) 460-1308
Organisation at this address
Nihcs
Marion Vamc
Marion Vamc
Va Hospital
Va Northern Indiana Hcs
Inferred from a shared address, not stated in the registry.
Clinicians at this address
354

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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