Individual provider · Type 1 NPI

Ryan M. Diepenbrock, DDS

Oral & Maxillofacial Surgery (D.M.D.) · Fort Wayne, IN

NPI number 1942399159 Active

Practice location

7845 Carnegie Blvd Ste A
Fort Wayne, IN 46804-5792

Mailing address

101 Bodin Cir
Fairfield, CA 94535-1809

Other practice locations

  • 550 University Blvd Ste 3195, Indianapolis, IN 46202-5149 · (317) 274-7433
  • 1121 W Michigan St, Indianapolis, IN 46202-5211 · (317) 274-7433

Specialties and licenses

TaxonomyCodeLicense
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X63091 (CA)
Oral and Maxillofacial Surgery (Dentist) 1223S0112X30-022164 (OH)
Oral & Maxillofacial Surgery (D.M.D.) Primary 204E00000X12012587A (IN)

Oral & Maxillofacial Surgery (D.M.D.): Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the j…

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About NPI 1942399159

Ryan M. Diepenbrock, DDS's National Provider Identifier is 1942399159, issued on Oct 12, 2006. The primary taxonomy on file is Oral & Maxillofacial Surgery (D.M.D.) (204E00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Nov 25, 2025.