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

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1013910041

Dr. Dominick Detommaso, DPM is a Foot & Ankle Surgery Podiatrist in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2005.

Licensed in
IN
In the registry since
2005
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

7601 W Jefferson Blvd
Fort Wayne, IN 46804-4133
Phone: (260) 436-8686
Fax: (260) 436-8585
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 07000410A (IN)
Podiatrist Taxonomy 213E00000X · Licence 07000410A (IN)

Record details

NPI number1013910041
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedMay 23, 2005
Last updated in NPPESMarch 22, 2016

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