TIMOTHY JAY BUSSICK DDS, MS, INCORPORATED


Address: 7207 Engle Rd, Fort Wayne, IN 46804-2231
Phone: 2604362255

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
12009656 IN Dental Providers

Other Provider/Organization Names

Other Name Type Code
Bussick Orthodontics Doing Business As Name - Organization

Office Location

Street Address 7207 ENGLE RD
City FORT WAYNE
State IN
Zip Code 46804-2231

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City FORT WAYNE
Zip Code 46804

Improve Information

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Dataset Information

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.

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