Organization · Type 2 NPI
BDD of Indiana P.c.
General Practice Dentistry · Fort Wayne, IN
NPI number
1366117889
Active
Practice location
10435 Illinois Rd
Fort Wayne, IN 46814-9181
Mailing address
333 W 1st St
Elmhurst, IL 60126-2641
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | None listed |
| General Practice Dentistry Primary | 1223G0001X | None listed |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Another provider at this address
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- Legacy Dental LLCGeneral Practice Dentistry Fort Wayne, IN NPI 1083704019
- Dental Professionals of Indiana, P.c.General Practice Dentistry Fort Wayne, IN NPI 1124240635
- Allcare Dental & Dentures of In PCGeneral Practice Dentistry Fort Wayne, IN NPI 1205007515
- Orchard Dental LLCGeneral Practice Dentistry Fort Wayne, IN NPI 1205730215
- Charles H Middleton DDS PCGeneral Practice Dentistry Fort Wayne, IN NPI 1215024989
About NPI 1366117889
BDD of Indiana P.c.'s National Provider Identifier is 1366117889, issued on Aug 16, 2021. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Fort Wayne, IN. The record was last updated on Apr 19, 2026.