Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Dr. Benjamin Clinkenbeard, DDS

Individual provider General Practice Dentistry · NPI 1033210703

Dr. Benjamin Clinkenbeard, DDS practises General Practice Dentistry in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

3615 Lake Ave
Fort Wayne, IN 46805-5539 Not confirmed with CMS for 17 years — call before visiting
Phone: (260) 615-9177
Fax: (260) 615-9177
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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 · Licence 12010541A (IN)

Record details

NPI number1033210703
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedSeptember 26, 2006
Last updated in NPPESSeptember 29, 2009

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