Dr. Gary Lynn Gotsch
Prosthodontist
4205 Hobson Ct
Fort Wayne
, Indiana 46815-8648
Dr. Gary Lynn Gotsch
Prosthodontist
4205 Hobson Ct
Fort Wayne
, Indiana 46815-8648
(260) 486-7679
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About
Features
Specialties
- Prosthodontist
Languages spoken
- English
Location
First Address
- Dr. Gary Lynn Gotsch
- 4205 Hobson Ct
- Fort Wayne, IN
- Zip : 46815-8648
- Fax : (260) 486-7679
- Phone : (260) 486-8778
Second Address
- Dr. Gary Lynn Gotsch
- 4205 Hobson Ct
- Fort Wayne, IN
- Zip : 46815-8648
- Fax : (260) 486-7679
- Phone : (260) 486-8778
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0700X | Prosthodontist | 7341 | IN |
National Provider Identifier
| NPI | 1174627749 |
|---|---|
| Provider Name | Dr. Gary Lynn Gotsch |
| First Address | Fort Wayne, IN 46815-8648 |
| Second Address | Fort Wayne, IN 46815-8648 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/09/2006 |
| Last Update Date | 11/10/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 100181210A | (05) | IN |
| T92321 | (02) | IN |
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.