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

Prime Dental Care LLC

Organization General Practice Dentistry · NPI 1053199539

Prime Dental Care LLC is a General Practice Dentistry in Fort Wayne, Indiana. Registered with an NPI since 2023.

In the registry since
2023
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

435 W Coliseum Blvd
Fort Wayne, IN 46805-1010
Phone: (260) 263-6200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1053199539
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vijay Kumar Godi — Dentist · (419) 788-5803
Other names Prime Dental
NPI enumeratedSeptember 18, 2023
Last updated in NPPESSeptember 18, 2023
Certification dateSeptember 17, 2023
Mailing address3210 Troutwood Dr, Fort Wayne, IN 46818-8791

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