TIMOTHY JAY BUSSICK DDS, MS, INCORPORATED (NPI# 1255427480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255427480 |
| Entity Type | Organization |
| Organization Name | TIMOTHY JAY BUSSICK DDS, MS, INCORPORATED |
| Other Organization Name | BUSSICK ORTHODONTICS |
| Practice Address |
7207 Engle Rd Fort Wayne IN 46804-2231 |
| Practice Telephone | 2604362255 |
| Practice Fax Number | 2604325466 |
| Mailing Telephone | 2604362255 |
| Mailing Fax Number | 2604325466 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2008-04-09 |
| Authorized Official Name | DR. TIMOTHY JAY BUSSICK (PRESIDENT/CEO) |
| Authorized Official Telephone | 2604362255 |
| Authorized Official Credential | DDS, MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
12009656 | IN | Dental Providers |
| Other Name | Type Code |
|---|---|
| Bussick Orthodontics | Doing Business As Name - Organization |
| Street Address |
7207 ENGLE RD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46804-2231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518131200 | Timothy Jay Bussick | Dentist | 7207 Engle Rd, Fort Wayne, IN 46804-2231 | 2008-04-15 |
| 1679607394 | Richard Douglas Presser | Dentist | 7207 Engle Rd, Fort Wayne, IN 46804-2231 | 2007-03-15 |
| 1528137288 | Stephen Regan | Dentist | 7207 Engle Rd, Fort Wayne, IN 46804-2231 | 2006-11-07 |
| 1720175979 | Summit Dental Group PC | Dentist | 7207 Engle Rd, Fort Wayne, IN 46804-2231 | 2006-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350344 | Derek Mumaw | Physical Therapist | 8420 Illinois Rd, Fort Wayne, IN 46804 | 2020-09-15 |
| 1942840228 | Erin M Mason | Behavior Technician | 5601 Coventry Ln, Fort Wayne, IN 46804 | 2020-01-14 |
| 1346880879 | Emily A Abdalla | Behavior Technician | 5601 Coventry Ln., Fort Wayne, IN 46804 | 2020-01-13 |
| 1083265433 | Fort Wayne Endodontics | Dentist | 9407 Illinois Rd, Fort Wayne, IN 46804 | 2019-09-26 |
| 1689140949 | Harrison Dental Group II, LLC | Dentist | 1333 Getz Rd, Fort Wayne, IN 46804 | 2018-10-15 |
| 1346731908 | Erin Nicole Zimmerman | Nurse Practitioner | 10170 Illinois Rd # 14, Fort Wayne, IN 46804 | 2018-05-19 |
| 1417446022 | Mary Harrington | Physical Therapist | 3320 Copper Hill Run, Fort Wayne, IN 46804 | 2018-05-09 |
| 1942701214 | Joshawa Todd Torres | Marriage & Family Therapist | 5651 Coventry Ln # 116, Fort Wayne, IN 46804 | 2018-02-22 |
| 1194235408 | Mitchell Kory Meyer | Specialist/Technologist | 9125 Yellow Tree Ct, Fort Wayne, IN 46804 | 2017-10-02 |
| 1902324916 | Emily Rene Sagstetter | Specialist/Technologist | 6034 Liberty Glade Ct, Fort Wayne, IN 46804 | 2017-08-30 |
| Find all providers in zip 46804 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326263948 | Summit Orthodontics, PC | Dentist | 2801 Maplecrest Rd, Fort Wayne, IN 46815-7015 | 2007-04-17 |
| 1114140134 | Jon D. Ingleman | Dentist | 223 E Tillman Rd, Fort Wayne, IN 46816-1016 | 2007-04-10 |
| 1891825543 | Angela Renee Becker | Dentist | 4638 W Jefferson Blvd, Fort Wayne, IN 46804-6886 | 2007-03-06 |
| 1659423606 | Steven J Hoagburg | Dentist | 5715 Maplecrest Rd, Fort Wayne, IN 46835-3838 | 2007-01-18 |
| 1396858957 | Orthodontic Specialty Services, Inc. | Dentist | 1120 E Dupont Rd, Fort Wayne, IN 46825-1556 | 2006-08-17 |
| 1952313991 | Ronald Alan Cohen | Dentist | 10211 Dupont Circle Dr W Ste A, Fort Wayne, IN 46825-1625 | 2006-08-11 |
| 1780235374 | Kathryn Welch | Dentist | 223 E Tillman Rd, Fort Wayne, IN 46816-1079 | 2019-09-25 |
| 1588932644 | Brandon C. Parrish | Dentist | 223 E Tillman Rd, Fort Wayne, IN 46816-1079 | 2011-12-05 |
| 1013234640 | Allison Bergdoll | Dentist | 2121 E Dupont Rd, Suite D, Fort Wayne, IN 46825-1546 | 2010-04-21 |
| 1518131200 | Timothy Jay Bussick | Dentist | 7207 Engle Rd, Fort Wayne, IN 46804-2231 | 2008-04-15 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46804 |
Please comment or provide details below to improve the information on TIMOTHY JAY BUSSICK DDS, MS, INCORPORATED.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.