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

Ali Maisam Rahimi

Individual provider Dentist · NPI 1790413961

Ali Maisam Rahimi is a Dentist in Fort Wayne, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2022
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Practice location Address checks out

8514 Deer Brook Pl
Fort Wayne, IN 46825-6425
Phone: (260) 416-9208
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 12013863A (IN)

Record details

NPI number1790413961
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 15, 2022
Last updated in NPPESAugust 15, 2022
Certification dateAugust 15, 2022

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