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PEDIATRIC DENTISTRY INC
NPI 1104859701
Dentist - Pediatric Dentistry in Fort Wayne, IN

Active since July 08, 2006
7750 WEST JEFFERSON BLVD, FORT WAYNE, IN 46804(260) 459-0903(260) 459-0673 Get Directions Write a Review

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

About Pediatric Dentistry Inc NPPES

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

PEDIATRIC DENTISTRY INC (NPI 1104859701), doing business as Wayne L Dawes Dds Inc, is a healthcare organization registered as a pediatric dentistry in Fort Wayne, Indiana and active in the NPI registry since July 2006. The organization lists Wayne Lee Dawes, President Owner, as its authorized official.

NPPES Registry Identity

NPI1104859701
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC DENTISTRY INC
Location Address7750 WEST JEFFERSON BLVDFort Wayne, IN 46804-4136
Mailing Address7750 West Jefferson BlvdFort Wayne, IN 46804-4136 · (260) 459-0903 · Fax (260) 459-0673
Phone(260) 459-0903
Fax(260) 459-0673
Organization SubpartNo
Authorized OfficialWayne Lee DawesPresident Owner · (260) 459-0903
Enumeration DateJuly 8, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1104859701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in IN · 54000382A
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
7750 WEST JEFFERSON BLVD, Fort Wayne, IN 46804
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Other Names 1

Former Legal Business NameWayne L Dawes Dds Inc

Other Identifiers 1

Other104667IN · Ind Dept Of Health Childr

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

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.

PEDIATRIC DENTAL ASSOCIATES PC
Dentist (Pediatric Dentistry)
7750 WEST JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 459-0903
DR. ANDREW STEVEN HOBBS DDS
Dentist (Pediatric Dentistry)
7750 WEST JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 459-0903

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 Pediatric Dentistry Inc's NPI number?

The NPI number for Pediatric Dentistry Inc is 1104859701. It was assigned to this organization in the NPPES registry on July 8, 2006. The provider was formerly known as Wayne L Dawes Dds Inc.

Where is Pediatric Dentistry Inc located?

Pediatric Dentistry Inc is located at 7750 West Jefferson Blvd, Fort Wayne, IN 46804. The listed phone number is (260) 459-0903.

What is Pediatric Dentistry Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Pediatric Dentistry Inc 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.