IndividualActive
Anna Betlej
NPI 1104592724 · Orthodontics and Dentofacial Orthopedics Dentistry · Fort Wayne, IN
Provider details
- NPI number
- 1104592724
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 12013698A (IN)
Specialties & taxonomies
Dental Providers
Practice location
5328 Coldwater Rd
Fort Wayne, IN 46825-5445
Phone: (260) 471-5016
Approximate (ZIP-level) locationGet directions
Mailing address
5328 Coldwater Rd
Fort Wayne, IN 46825-5445
Registry dates
- Enumerated
- 2021-08-23
- Last updated
- 2021-09-15
- Certified
- 2021-08-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.