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

Prosper Holistic Dentistry LLC

Organization Dental Clinic/Center · NPI 1619811478

Prosper Holistic Dentistry LLC is a Dental Clinic/Center in Fort Wayne, Indiana. Registered with an NPI since 2026.

In the registry since
2026
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

3030 Lake Ave Ste 15
Fort Wayne, IN 46805-5428
Phone: (260) 888-4130
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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 number1619811478
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Allyson Feasel — Dentist/Owner · (317) 607-7959
NPI enumeratedApril 14, 2026
Last updated in NPPESApril 14, 2026
Certification dateApril 14, 2026
Mailing address3030 Lake Ave Ste 15, Fort Wayne, IN 46805-5428

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