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

John Jacob Shank, DDS

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1154349439

John Jacob Shank, DDS is an Oral and Maxillofacial Surgery (Dentist) in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
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

2121 E Dupont Rd Ste C
Fort Wayne, IN 46825-1546
Phone: (260) 490-2013
Fax: (260) 490-1081
Show map & directions

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

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 12009584 (IN)

Record details

NPI number1154349439
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 17, 2006
Last updated in NPPESJanuary 27, 2009
Mailing address2121 E Dupont Rd Ste C, Fort Wayne, IN 46825-1546

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