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

Endodontic Associates, Inc

Organization Endodontics · NPI 1528112562

Endodontic Associates, Inc is an Endodontics in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2007.

Licensed in
IN
In the registry since
2007
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4640 W Jefferson Blvd
Fort Wayne, IN 46804-6826
Phone: (260) 432-2813
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence 12007603 (IN)
Endodontics Taxonomy 1223E0200X · Licence 12007705 (IN)
Endodontics Taxonomy 1223E0200X · Licence 12007721 (IN)
Endodontics Taxonomy 1223E0200X · Licence 12010480 (IN)

Record details

NPI number1528112562
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Judy Shively — Office Manager · (260) 432-2813
NPI enumeratedJanuary 23, 2007
Last updated in NPPESAugust 22, 2020
Mailing address4640 W Jefferson Blvd, Fort Wayne, IN 46804-6826

Other providers in Fort Wayne