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

Dr. Mathew Kavanaugh, DDS

Individual provider Dentist · NPI 1780800243

Dr. Mathew Kavanaugh, DDS is a Dentist in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2007.

Licensed in
IN
In the registry since
2007
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

2828 E State Blvd Ste B
Fort Wayne, IN 46805-4761
Phone: (260) 482-6689
Fax: (260) 482-6948
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 12010783A (IN)

Record details

NPI number1780800243
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedApril 17, 2007
Last updated in NPPESJuly 8, 2007
Mailing address2828 E State Blvd, Suite B, Fort Wayne, IN 46805-4761

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