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DR. JONATHAN PATRICK HALE DDS
NPI 1063895670
Dentist - General Practice in Fort Wayne, IN

Active since June 30, 2015
4116 E STATE BLVD, FORT WAYNE, IN 46815(260) 482-3759(260) 482-3750 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 19, 2025, Oct 23, 2020 (2 updates tracked since 2020).

About Dr. Jonathan Patrick Hale Dds NPPES

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

DR. JONATHAN PATRICK HALE DDS (NPI 1063895670) is an individual general practice provider in Fort Wayne, Indiana, licensed in Indiana (12012803A) and active in the NPI registry since June 2015.

NPPES Registry Identity

NPI1063895670
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JONATHAN PATRICK HALECredential: DDS
Location Address4116 E STATE BLVDFort Wayne, IN 46815-6977
Mailing Address4116 E State BlvdFort Wayne, IN 46815-6977 · (260) 482-3759 · Fax (260) 482-3750
Phone(260) 482-3759
Fax(260) 482-3750
Sole ProprietorNo
Enumeration DateJune 30, 2015
Last NPPES UpdateMay 19, 20252 updates tracked since enumeration
NPPES CertifiedMay 19, 2025
✔ NPI 1063895670 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 · 12012803A✔ Licensed in FL · DN 21405
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.
4116 E STATE BLVD, Fort Wayne, IN 46815
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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 and more.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.

DR. GREGORY ALAN CRAWFORD DDS
Dentist (General Practice)
4116 E STATE BLVD
FORT WAYNE, IN 46815
Allen County (260) 482-3759
DR. MARK F STONER D.D.S.
Dentist (General Practice)
4116 E STATE BLVD
FORT WAYNE, IN 46815
Allen County (260) 485-8118
HALE FAMILY DENTISTRY CORP
Dentist
4116 E STATE BLVD
FORT WAYNE, IN 46815
Allen County (260) 482-3759

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 Jonathan Hale's NPI number?

The NPI number for Jonathan Hale is 1063895670. It was assigned to this individual provider in the NPPES registry on June 30, 2015.

Where is Jonathan Hale located?

Jonathan Hale practices at 4116 E State Blvd, Fort Wayne, IN 46815. The listed phone number is (260) 482-3759.

What is Jonathan Hale's specialty?

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

What insurance does Jonathan Hale accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 4 other insurers list Jonathan Hale 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 Jonathan Hale was last updated on May 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.