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

Dr. Lora Wonderly, DMD

Individual provider General Practice Dentistry · NPI 1013207265

Dr. Lora Wonderly, DMD is a General Practice Dentistry in Fort Wayne, Indiana. Practices as a sole proprietor. Licensed in Indiana and Ohio.

Licensed in
IN, OH
In the registry since
2011
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

4616 W Jefferson Blvd
Fort Wayne, IN 46804-6826
Phone: (260) 432-8596
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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 12011879A (IN)
General Practice Dentistry Taxonomy 1223G0001X · Licence 30.023620 (OH)

Record details

NPI number1013207265
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedApril 8, 2011
Last updated in NPPESJuly 13, 2016
Mailing address4616 W Jefferson Blvd, Fort Wayne, IN 46804-6826

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