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

Dr. Tyler Jerome Kimmel, DDS

Individual provider Dentist · NPI 1205272168

Dr. Tyler Jerome Kimmel, DDS is a Dentist in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2013.

Licensed in
IN
In the registry since
2013
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

1717 S Calhoun St
Fort Wayne, IN 46802
Phone: (260) 458-2641
Fax: (260) 458-3093
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 12011939A (IN)

Record details

NPI number1205272168
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMay 20, 2013
Last updated in NPPESMay 20, 2013

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