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

Purdue University

Organization Dentist · NPI 1053512004

Purdue University is a Dentist in Fort Wayne, Indiana. Registered with an NPI since 2007.

In the registry since
2007
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2101 E Coliseum Boulevard Neff Hall Rm 109
Fort Wayne, IN 46805-1499
Phone: (260) 481-6575
Fax: (260) 481-4162
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1053512004
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPurdue University
Authorized official Joan Vaughan — Director Hipaa Privacy Compliance · (765) 496-1927
Other names Ipfw Dental Hygiene Clinic
NPI enumeratedMay 29, 2007
Last updated in NPPESAugust 2, 2022
Certification dateAugust 2, 2022
Mailing address601 Stadium Mall Drive, West Lafayette, IN 47907-2052

Other providers in Fort Wayne