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

Dr. Michael Thomas Tom, DDS

Individual provider Dentist · NPI 1477558138

Dr. Michael Thomas Tom, DDS is a Dentist in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2005.

Licensed in
IN
In the registry since
2005
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

1220 Medical Park Dr Ste 1
Fort Wayne, IN 46825-5843
Phone: (260) 482-9196
Fax: (260) 484-3371
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 12010084A (IN)

Record details

NPI number1477558138
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 17, 2005
Last updated in NPPESJuly 13, 2026
Mailing address1220 Medical Park Dr, Ste 1, Fort Wayne, IN 46825-5843

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