Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Aegis Dental Group Fort Wayne, LLC

Organization Dental Clinic/Center · NPI 1992506513

Aegis Dental Group Fort Wayne, LLC is a Dental Clinic/Center in Fort Wayne, Indiana. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4975 W Jefferson Blvd
Fort Wayne, IN 46804
Phone: (574) 875-7711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1992506513
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cynthia Neuenschwander — Chief Operating Officer · (574) 875-7711
Other names Aegis Dental Group Fort Wayne
NPI enumeratedMarch 20, 2025
Last updated in NPPESMarch 20, 2025
Certification dateMarch 18, 2025
Mailing address4975 W Jefferson Blvd, Fort Wayne, IN 46804

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