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DR. LORA WONDERLY DMD
NPI 1013207265
Dentist - General Practice in Fort Wayne, IN

Active since April 08, 2011
4616 W JEFFERSON BLVD, FORT WAYNE, IN 46804(260) 432-8596 Get Directions Write a Review

NPPES record last updated: July 13, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lora Wonderly Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LORA WONDERLY DMD (NPI 1013207265) is an individual general practice provider in Fort Wayne, Indiana, licensed in Indiana (12011879A) and active in the NPI registry since April 2011.

NPPES Registry Identity

NPI1013207265
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. LORA WONDERLYCredential: DMD
Location Address4616 W JEFFERSON BLVDFort Wayne, IN 46804-6826
Mailing Address4616 W Jefferson BlvdFort Wayne, IN 46804-6826 · (260) 432-8596
Phone(260) 432-8596
Sole ProprietorYes
Enumeration DateApril 8, 2011
Last NPPES UpdateJuly 13, 2016
✔ NPI 1013207265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in IN · 12011879A✔ Licensed in OH · 30.023620
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4616 W JEFFERSON BLVD, Fort Wayne, IN 46804
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Michigan.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIDTOWN DENTAL P C
Dentist (General Practice)
4616 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 432-8596
DR. SONYA ANN SHIVELY DDS
Dentist (General Practice)
4616 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 432-8414
BERGER DENTISTRY SW
Dentist
4616 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 432-8596

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lora Wonderly's NPI number?

The NPI number for Lora Wonderly is 1013207265. It was assigned to this individual provider in the NPPES registry on April 8, 2011.

Where is Lora Wonderly located?

Lora Wonderly practices at 4616 W Jefferson Blvd, Fort Wayne, IN 46804. The listed phone number is (260) 432-8596.

What is Lora Wonderly's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Lora Wonderly accept?

Health plans from Delta Dental of Michigan list Lora Wonderly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lora Wonderly was last updated on July 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.