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

Zelalem Bogale Amare

Individual provider General Practice Dentistry · NPI 1063116572

Zelalem Bogale Amare is a Dentist in Fort Wayne, Indiana. Qualified in 2025, 1 year ago. Licensed in Indiana.

Years since qualifying
1
Licensed in
IN
In the registry since
2023

Practice location Address checks out

1717 S Calhoun St
Fort Wayne, IN 46802-5257
Phone: (260) 458-2641
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 12014814A (IN)

Record details

NPI number1063116572
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 28, 2023
Last updated in NPPESJuly 31, 2025
Certification dateJuly 31, 2025
Mailing address1717 S Calhoun St, Fort Wayne, IN 46802-5257

Medicare enrollment

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

Medicare specialtyDENTIST
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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