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

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1982411088

Northeast Indiana Orthodontics, LLC is an Orthodontics and Dentofacial Orthopedics Dentistry in Fort Wayne, Indiana. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
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 D
Fort Wayne, IN 46825-1546
Phone: (260) 338-2643
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 516 N Line St, Columbia City, IN 46725-1230 — (260) 338-2643

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X
Dental Clinic/Center Taxonomy 261QD0000X

Record details

NPI number1982411088
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Allison Bergdoll — President, Orthodontist · (260) 338-2643
NPI enumeratedDecember 12, 2024
Last updated in NPPESDecember 12, 2024
Certification dateDecember 12, 2024
Mailing address2121 E Dupont Rd Ste D, Fort Wayne, IN 46825-1546

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