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

Joel Micah Johnson, DDS

Individual provider General Practice Dentistry · NPI 1568714590

Joel Micah Johnson, DDS is a General Practice Dentistry in Fort Wayne, Indiana. Licensed in Indiana and Michigan. Registered with an NPI since 2012.

Licensed in
IN, MI
In the registry since
2012
Specialties on file
2
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

10211 Dupont Circle Dr W Ste A
Fort Wayne, IN 46825-1625
Phone: (260) 489-8989
Fax: (734) 763-8100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 12011754A (IN)
General Practice Dentistry Taxonomy 1223G0001X · Licence 2901020824 (MI)

Record details

NPI number1568714590
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedOctober 15, 2012
Last updated in NPPESOctober 7, 2014
Mailing address10211 Dupont Circle Dr W Ste A, Fort Wayne, IN 46825-1625

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