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

Fort Wayne Oral Maxillofacial Surgery & Implant Center, LLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1649347832

Fort Wayne Oral Maxillofacial Surgery & Implant Center, LLC is an Oral and Maxillofacial Surgery (Dentist) in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
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

2121 E Dupont Rd Ste #C
Fort Wayne, IN 46825-1546
Phone: (260) 490-2013
Fax: (260) 490-1081
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X (IN)

Record details

NPI number1649347832
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mulokozi Lugakingira — President · (260) 490-2013
NPI enumeratedNovember 30, 2006
Last updated in NPPESOctober 7, 2013
Mailing address2121 E Dupont Rd, Suite #C, Fort Wayne, IN 46825-1546

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