DR. MARVIN EADY JR., DDS

Dentist - General Practice

Active Individual
NPI: 1457331332

Practice Address

4646 W JEFFERSON BLVD
SUITE 140
Fort Wayne, IN 46804

Phone: (260) 459-1415

Specialties

Specialty Code Primary License
Dentist - General Practice 1223G0001X Yes 12009115A (IN)

Frequently Asked Questions

NPI 1457331332 is the National Provider Identifier for DR. MARVIN EADY JR., DDS, a Dentist - General Practice provider located in Fort Wayne, IN. This NPI was enumerated on January 18, 2006.
DR. MARVIN EADY JR., DDS practices at 4646 W JEFFERSON BLVD, SUITE 140, Fort Wayne, IN 46804.

Quick Facts

NPI
1457331332
Type
Individual
Enumerated
Jan 18, 2006
Last Updated
Jul 9, 2007

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