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

Fort Wayne Endodontics

Organization Endodontics · NPI 1083265433

Fort Wayne Endodontics is an Endodontics in Fort Wayne, Indiana. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

9407 Illinois Rd
Fort Wayne, IN 46804
Phone: (260) 436-5772
Fax: (260) 436-5779
Show map & directions

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

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X

Record details

NPI number1083265433
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Glassley — President · (260) 436-5772
NPI enumeratedSeptember 26, 2019
Last updated in NPPESSeptember 26, 2019
Mailing address9407 Illinois Rd, Fort Wayne, IN 46804

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