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

Fort Wayne Pediatric Dentistry LLC

Organization Pediatric Dentistry · NPI 1689185886

Fort Wayne Pediatric Dentistry LLC is a Pediatric Dentistry in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2017.

Licensed in
IN
In the registry since
2017
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

10211 Dupont Circle Dr W
Fort Wayne, IN 46825-1622
Phone: (260) 490-5437
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 12011802A (IN)

Record details

NPI number1689185886
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Ludwig — Owner/Pediatric Dentist · (219) 929-6739
NPI enumeratedOctober 16, 2017
Last updated in NPPESOctober 16, 2017
Mailing address378 Elderwood Ct, Fort Wayne, IN 46845-4510

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