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PERIODONTICS LIMITED
NPI 1053408609
Dentist - Periodontics in Fort Wayne, IN

Active since October 06, 2006
7750 W JEFFERSON BLVD, FORT WAYNE, IN 46804(260) 432-0577(260) 432-0578 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Periodontics Limited NPPES

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

PERIODONTICS LIMITED (NPI 1053408609) is a healthcare organization registered as a periodontics in Fort Wayne, Indiana and active in the NPI registry since October 2006. The organization lists Lloyd J. Hagedorn, Senior Partner, as its authorized official.

NPPES Registry Identity

NPI1053408609
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NamePERIODONTICS LIMITED
Location Address7750 W JEFFERSON BLVDFort Wayne, IN 46804-4174
Mailing Address7750 W Jefferson BlvdFort Wayne, IN 46804-4174 · (260) 432-0577 · Fax (260) 432-0578
Phone(260) 432-0577
Fax(260) 432-0578
Organization SubpartNo
Authorized OfficialLloyd J. HagedornSenior Partner · (260) 432-0577
Enumeration DateOctober 6, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1053408609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
7750 W JEFFERSON BLVD, Fort Wayne, IN 46804
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

DR. DANIEL F. GABREK DDS, MSD
Dentist (Periodontics)
7750 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 432-0577
DR. WAYNE LEE DAWES DDS
Dentist (Pediatric Dentistry)
7750 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 469-0903
PERIODONTIC SPECIALISTS, P.C.
Dentist (Periodontics)
7750 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 432-0577
VISION CARE ASSOCIATES PC
Eyewear Supplier
7750 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 459-9595
SUSAN LYNN EGGEBRECHT OD
Optometrist
7750 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 459-9595
DALE FREDERICK FATH OD
Optometrist
7750 W JEFFERSON BLVD
FT WAYNE, IN 46804
Allen County (260) 459-9595
VISION CARE ASSOCIATES PC
Ophthalmology
7750 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 459-9595

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 Periodontics Limited's NPI number?

The NPI number for Periodontics Limited is 1053408609. It was assigned to this organization in the NPPES registry on October 6, 2006.

Where is Periodontics Limited located?

Periodontics Limited is located at 7750 W Jefferson Blvd, Fort Wayne, IN 46804. The listed phone number is (260) 432-0577.

What is Periodontics Limited's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Periodontics Limited was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.