DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. JORGE ANTONIO BALTZELL DDS

MEDICARE: DR. JORGE ANTONIO BALTZELL DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist12014795AIN

General Provider Information

NPI Number : 1225924194
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JORGE ANTONIO BALTZELL DDS
Provider Business Mailing Address
First Line : 7424 BOJRAB DR
Second Line :
City : FORT WAYNE
State : IN
Zip : 46835-4153
Country : US
Telephone Number : 317-273-9190
Fax Number :
Provider Business Practice Location Address
First Line : 6412 WINCHESTER RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46819-1550
Country : US
Telephone Number : 260-747-4747
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2025
Last Update Date : 06/16/2025

Similar Medicare Providers

1831279447 — DAVID K. HARRISON DDS PC
Practice Location Address:
6412 WINCHESTER RD
FORT WAYNE, IN
46819-1550
Practice Phone: 260-747-4747
Practice Fax: 260-747-4749
1720209000 — DR. DAVID K HARRISON D.D.S.
Practice Location Address:
6412 WINCHESTER RD
FORT WAYNE, IN
46819-1550
Practice Phone: 260-747-4747
Practice Fax: 260-747-4749
1346502713 — DR. KEITH HARRISON D.D.S.
Practice Location Address:
6412 WINCHESTER RD
FORT WAYNE, IN
46819-1550
Practice Phone: 260-747-4747
Practice Fax: 260-747-4749
1710580600 — HARRISON DENTAL GROUP I LLC
Practice Location Address:
6412 WINCHESTER RD
FORT WAYNE, IN
46819-1550
Practice Phone: 260-747-4747
Practice Fax:
1548837008 — EVAN FEICHTER
Practice Location Address:
6412 WINCHESTER RD
FORT WAYNE, IN
46819-1550
Practice Phone: 269-747-4747
Practice Fax:
1114912482 — ANN REIDENBACH MPH RD CD
Practice Location Address:
6522 CONSTITUTION DR
FORT WAYNE, IN
46804-1550
Practice Phone: 260-433-3877
Practice Fax: 260-755-5731

Directions to “ DR. JORGE ANTONIO BALTZELL DDS” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.