1. Home
  2. Directory
  3. Indiana
  4. Fort Wayne
  5. Dentist
  6. NPI Profile

PRIME DENTAL CARE LLC
NPI 1053199539
Dentist - General Practice in Fort Wayne, IN

Active since September 18, 2023
435 W COLISEUM BLVD, FORT WAYNE, IN 46805(260) 263-6200 Get Directions Write a Review

NPPES record last updated: September 18, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Prime Dental Care Llc NPPES

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

PRIME DENTAL CARE LLC (NPI 1053199539), doing business as Prime Dental, is a healthcare organization registered as a general practice in Fort Wayne, Indiana and active in the NPI registry since September 2023. The organization lists Vijay Kumar Godi, Dentist, as its authorized official.

NPPES Registry Identity

NPI1053199539
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePRIME DENTAL CARE LLC
Location Address435 W COLISEUM BLVDFort Wayne, IN 46805-1010
Mailing Address3210 Troutwood DrFort Wayne, IN 46818-8791 · (419) 788-5803
Phone(260) 263-6200
Organization SubpartNo
Authorized OfficialVijay Kumar GodiDentist · (419) 788-5803
Enumeration DateSeptember 18, 2023
NPPES CertifiedSeptember 17, 2023
✔ NPI 1053199539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.

435 W COLISEUM BLVD, Fort Wayne, IN 46805
Open in Google Maps ↗

Other Names 1

Doing Business AsPrime Dental

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

Other Providers at the Same Location NPPES 2

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

DR. E CHARLES ECKSTEIN DMD
Dentist
435 W COLISEUM BLVD
FORT WAYNE, IN 46805
Allen County (260) 969-5367
ALLCARE DENTAL & DENTURES OF IN PC
Dentist (General Practice)
435 W COLISEUM BLVD
FORT WAYNE, IN 46805
Allen County (260) 969-5367

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 Prime Dental Care LLC's NPI number?

The NPI number for Prime Dental Care LLC is 1053199539. It was assigned to this organization in the NPPES registry on September 18, 2023. The provider is doing business as Prime Dental.

Where is Prime Dental Care LLC located?

Prime Dental Care LLC is located at 435 W Coliseum Blvd, Fort Wayne, IN 46805. The listed phone number is (260) 263-6200.

What is Prime Dental Care LLC's specialty?

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

What insurance does Prime Dental Care LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Prime Dental Care LLC 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 Prime Dental Care LLC was last updated on September 18, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.