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

Dr. Ryan M. Diepenbrock, DDS

Individual provider Oral & Maxillofacial Surgery (D.M.D.) · NPI 1942399159

Dr. Ryan M. Diepenbrock, DDS is an Oral Surgery in Fort Wayne, Indiana. Graduated from Ohio State University College of Dentistry in 2005, 21 years ago. Practices with Oral and Maxillofacial Surgery Associates PC, a 6-clinician group and works from 3 locations. Licensed in California, Indiana and Ohio.

Years since qualifying
21
Trained at
Ohio State University College of Dentistry
Licensed in
CA, IN, OH
In the registry since
2006
Specialties on file
3
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.

See every abbreviation used in this directory →

Practice location Address checks out

7845 Carnegie Blvd Ste A
Fort Wayne, IN 46804-5792
Phone: (260) 423-2340
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1121 W Michigan St, Indianapolis, IN 46202-5211 — (317) 274-7433
  • 550 University Blvd Ste 3195, Indianapolis, IN 46202-5149 — (317) 274-7433

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X · Licence 12012587A (IN)
Oral & Maxillofacial Surgery (D.M.D.) Taxonomy 204E00000X · Licence 63091 (CA)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 30-022164 (OH)

Record details

NPI number1942399159
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedOctober 12, 2006
Last updated in NPPESNovember 25, 2025
Certification dateNovember 25, 2025
Mailing address101 Bodin Cir, Fairfield, CA 94535-1809

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF DENTISTRY
Graduated 2005 (21 years in practice)
Group practice Oral And Maxillofacial Surgery Associates Pc — 6 clinicians
Accepts Medicare assignment Not indicated

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