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

Jesse Dominguez

Individual provider Technician/Technologist · NPI 1245198696

Jesse Dominguez is a Technician/Technologist in Fort Wayne, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2026
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Practice location Address checks out

7970 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone: (260) 435-6100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Technician/Technologist (primary) Taxonomy 156F00000X · Licence 67047515A (IN)

Record details

NPI number1245198696
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 14, 2026
Last updated in NPPESJanuary 14, 2026
Certification dateJanuary 14, 2026
Mailing address1131 Sinclair St, Fort Wayne, IN 46808-2647

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