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

Dental Consults of Northeast Indiana, PC

Organization General Practice Dentistry · NPI 1568580470

Dental Consults of Northeast Indiana, PC is a General Practice Dentistry in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2007.

Licensed in
IN
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11115 Lima Rd
Fort Wayne, IN 46818-9536
Phone: (260) 489-6544
Fax: (260) 416-0544
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 12008792 (IN)

Record details

NPI number1568580470
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Haller — President · (260) 489-6544
NPI enumeratedMarch 27, 2007
Last updated in NPPESJune 18, 2008
Mailing address11115 Lima Rd, Fort Wayne, IN 46818-9536

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