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

Fort Wayne Dental Group, LLC

Organization General Practice Dentistry · NPI 1922167188

Fort Wayne Dental Group, LLC 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?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7202 Engle Rd
Fort Wayne, IN 46804-2222
Phone: (260) 432-3459
Fax: (260) 436-4757
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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 12010298A (IN)
General Practice Dentistry Taxonomy 1223G0001X · Licence 12008127 (IN)
Pediatric Dentistry Taxonomy 1223P0221X · Licence 12009199 (IN)

Record details

NPI number1922167188
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brent Mutton — Owner · (260) 432-3459
NPI enumeratedDecember 6, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address7202 Engle Rd, Fort Wayne, IN 46804-2222

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