Provider Demographics
NPI:1366879256
Name:MARY ELLEN ARGUS, DDS, PC
Entity type:Organization
Organization Name:MARY ELLEN ARGUS, DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MGR
Authorized Official - Prefix:
Authorized Official - First Name:SHARLOTTE
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:260-486-4444
Mailing Address - Street 1:2801 MAPLECREST RD
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46815-7015
Mailing Address - Country:US
Mailing Address - Phone:260-486-4444
Mailing Address - Fax:260-486-4596
Practice Address - Street 1:2801 MAPLECREST RD
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46815-7015
Practice Address - Country:US
Practice Address - Phone:260-486-4444
Practice Address - Fax:260-486-4596
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-09
Last Update Date:2013-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental