Dr. Allison Bergdoll
Orthodontists
2121 E Dupont Rd Suite D
Fort Wayne
, Indiana 46825-1546
Dr. Allison Bergdoll
Orthodontists
2121 E Dupont Rd Suite D
Fort Wayne
, Indiana 46825-1546
(260) 490-3554
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Dr. Allison Bergdoll
- 2121 E Dupont Rd Suite D
- Fort Wayne, IN
- Zip : 46825-1546
- Phone : (260) 490-3554
Second Address
- Dr. Allison Bergdoll
- 2121 E Dupont Rd Suite D
- Fort Wayne, IN
- Zip : 46825-1546
- Phone : (260) 490-3554
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223X0400X | Orthodontists | 12011061A | IN |
National Provider Identifier
| NPI | 1013234640 |
|---|---|
| Provider Name | Dr. Allison Bergdoll |
| First Address | Fort Wayne, IN 46825-1546 |
| Second Address | Fort Wayne, IN 46825-1546 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/04/2010 |
| Last Update Date | 21/04/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.