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

Family Dentistry & Aesthetic Inc

Organization General Practice Dentistry · NPI 1457462590

Family Dentistry & Aesthetic Inc is a General Practice Dentistry in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
Specialties on file
3
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

4626 W Jefferson Blvd
Fort Wayne, IN 46804
Phone: (260) 432-0561
Fax: (260) 436-4626
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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 12009882 (IN)
General Practice Dentistry Taxonomy 1223G0001X · Licence 9047 (IN)
General Practice Dentistry Taxonomy 1223G0001X · Licence 9757 (IN)

Record details

NPI number1457462590
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Teel — Owner President · (260) 432-0561
Other names Thomas T Teel Thomas M Gilbert & Catherine N Periolat
NPI enumeratedAugust 31, 2006
Last updated in NPPESAugust 22, 2020
Mailing address4626 West Jefferson Blvd, Fort Wayne, IN 46804

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