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

Fort Wayne Family Dentistry Inc

Organization Dental Clinic/Center · NPI 1629712054

Fort Wayne Family Dentistry Inc is a Dental Clinic/Center in Fort Wayne, Indiana. Registered with an NPI since 2022.

In the registry since
2022
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

6126 Trier Rd
Fort Wayne, IN 46815-5339
Phone: (440) 823-6790
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1629712054
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Opal Anderson — Manager · (440) 823-6790
NPI enumeratedApril 22, 2022
Last updated in NPPESApril 22, 2022
Certification dateApril 22, 2022
Mailing address33300 Warren Rd Ste 29, Westland, MI 48185-9627

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