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FORT WAYNE ENDODONTICS
NPI 1083265433
Dentist - Endodontics in Fort Wayne, IN

Active since September 26, 2019
9407 ILLINOIS RD, FORT WAYNE, IN 46804(260) 436-5772(260) 436-5779 Get Directions Write a Review

NPPES record last updated: September 26, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fort Wayne Endodontics NPPES

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

FORT WAYNE ENDODONTICS (NPI 1083265433) is a healthcare organization registered as an endodontics in Fort Wayne, Indiana and active in the NPI registry since September 2019. The organization lists Jason P Glassley, President, as its authorized official.

NPPES Registry Identity

NPI1083265433
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameFORT WAYNE ENDODONTICS
Location Address9407 ILLINOIS RDFort Wayne, IN 46804
Mailing Address9407 Illinois RdFort Wayne, IN 46804 · (260) 436-5772 · Fax (260) 436-5779
Phone(260) 436-5772
Fax(260) 436-5779
Organization SubpartNo
Authorized OfficialJason P GlassleyPresident · (260) 436-5772
Enumeration DateSeptember 26, 2019
✔ NPI 1083265433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
9407 ILLINOIS RD, 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 SINGLE SPECIALTY GROUP

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 Fort Wayne Endodontics's NPI number?

The NPI number for Fort Wayne Endodontics is 1083265433. It was assigned to this organization in the NPPES registry on September 26, 2019.

Where is Fort Wayne Endodontics located?

Fort Wayne Endodontics is located at 9407 Illinois Rd, Fort Wayne, IN 46804. The listed phone number is (260) 436-5772.

What is Fort Wayne Endodontics's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Fort Wayne Endodontics was last updated on September 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.