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

Emory W. Bryan, Jr , DDS, PC

Organization General Practice Dentistry · NPI 1417008947

Emory W. Bryan, Jr , DDS, 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

6427 Georgetown North Blvd
Fort Wayne, IN 46815-7007
Phone: (260) 485-9142
Fax: (260) 485-9783
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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 54000568A (IN)

Record details

NPI number1417008947
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Emory Bryan — President · (260) 485-9142
NPI enumeratedJanuary 12, 2007
Last updated in NPPESAugust 22, 2020
Mailing address6427 Georgetown North Blvd, Fort Wayne, IN 46815-7007

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