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

Dr. Jonathan Patrick Hale, DDS

Individual provider General Practice Dentistry · NPI 1063895670

Dr. Jonathan Patrick Hale, DDS is a General Practice Dentistry in Fort Wayne, Indiana. Licensed in Florida and Indiana. Registered with an NPI since 2015.

Licensed in
FL, IN
In the registry since
2015
Specialties on file
2
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

4116 E State Blvd
Fort Wayne, IN 46815-6977
Phone: (260) 482-3759
Fax: (260) 482-3750
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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 12012803A (IN)
General Practice Dentistry Taxonomy 1223G0001X · Licence DN 21405 (FL)

Record details

NPI number1063895670
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 30, 2015
Last updated in NPPESMay 19, 2025
Certification dateMay 19, 2025
Mailing address4116 E State Blvd, Fort Wayne, IN 46815-6977

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