Individual provider · Type 1 NPI

Marvin Preston Eady Jr., DDS

General Practice Dentistry · Fort Wayne, IN

NPI number 1457331332 Active

Practice location

4646 W Jefferson Blvd, Suite 140
Fort Wayne, IN 46804-6842

Fax (260) 459-1419

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X12009115A (IN)

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.

3 other providers at this address

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About NPI 1457331332

Marvin Preston Eady Jr., DDS's National Provider Identifier is 1457331332, issued on Jan 18, 2006. 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 Jul 13, 2026.