THOMAS T TEEL THOMAS M GILBERT & CATHERINE N PERIOLAT
NPI 1457462590
Dentist - General Practice in Fort Wayne, IN

Active since August 31, 2006
4626 WEST JEFFERSON BLVD, FORT WAYNE, IN 46804(260) 432-0561(260) 436-4626 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Thomas T Teel Thomas M Gilbert & Catherine N Periolat NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THOMAS T TEEL THOMAS M GILBERT & CATHERINE N PERIOLAT (NPI 1457462590) is a healthcare organization registered as a general practice in Fort Wayne, Indiana and active in the NPI registry since August 2006. The organization lists Thomas T Teel, Owner President, as its authorized official.

NPPES Registry Identity

NPI1457462590
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameFAMILY DENTISTRY & AESTHETIC INC
Location Address4626 WEST JEFFERSON BLVDFort Wayne, IN 46804
Mailing Address4626 West Jefferson BlvdFort Wayne, IN 46804 · (260) 432-0561 · Fax (260) 436-4626
Fax(260) 436-4626
Organization SubpartNo
Authorized OfficialThomas T TeelOwner President · (260) 432-0561
Enumeration DateAugust 31, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1457462590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in IN · 12009882 Licensed in IN · 9047 Licensed in IN · 9757
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4626 WEST JEFFERSON BLVD, Fort Wayne, IN 46804

Other Names 1

Other NameThomas T Teel Thomas M Gilbert & Catherine N Periolat

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Family Dentistry & Aesthetic Inc's NPI number?

The NPI number for Family Dentistry & Aesthetic Inc is 1457462590. It was assigned to this organization in the NPPES registry on August 31, 2006. The provider is also known as Thomas T Teel Thomas M Gilbert & Catherine N Periolat.

Where is Family Dentistry & Aesthetic Inc located?

Family Dentistry & Aesthetic Inc is located at 4626 West Jefferson Blvd, Fort Wayne, IN 46804. The listed phone number is (260) 432-0561.

What is Family Dentistry & Aesthetic Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Family Dentistry & Aesthetic Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.