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

Doctor Eady Family Dentistry, PC

Organization General Practice Dentistry · NPI 1548709900

Doctor Eady Family Dentistry, PC is a General Practice Dentistry in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2017.

Licensed in
IN
In the registry since
2017
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

4646 W Jefferson Blvd Ste 140
Fort Wayne, IN 46804-6842
Phone: (260) 459-1415
Fax: (260) 459-1419
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 12009115 (IN)

Record details

NPI number1548709900
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marvin Eady — President · (260) 459-1415
NPI enumeratedFebruary 17, 2017
Last updated in NPPESFebruary 17, 2017
Mailing address4646 W Jefferson Blvd, Suite 140, Fort Wayne, IN 46804-6842

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