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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ORCHARD DENTAL LLC
NPI 1205730215
Dentist - General Practice in Fort Wayne, IN

Active since October 05, 2026
4716 ILLINOIS RD STE 101, FORT WAYNE, IN 46804(260) 432-7970 Get Directions Write a Review

NPPES record added: October 5, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Orchard Dental Llc NPPES

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

ORCHARD DENTAL LLC (NPI 1205730215) is a healthcare organization registered as a general practice in Fort Wayne, Indiana and active in the NPI registry since October 2026. The organization lists Marianne Tilton, Provider Enrollment Supervisor, as its authorized official.

NPPES Registry Identity

NPI1205730215
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameORCHARD DENTAL LLC
Location Address4716 ILLINOIS RD STE 101Fort Wayne, IN 46804-5123
Mailing AddressPo Box 70887Cleveland, OH 44190-0887
Phone(260) 432-7970
Organization SubpartNo
Authorized OfficialMarianne TiltonProvider Enrollment Supervisor · (315) 454-6000
Enumeration DateOctober 5, 2026
NPPES CertifiedOctober 5, 2026
✔ NPI 1205730215 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.
4716 ILLINOIS RD STE 101, Fort Wayne, IN 46804
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Other Providers at the Same Location NPPES 4

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

THOMAS JAMES FLOYD DMD
Dentist
4716 ILLINOIS RD STE 101
FORT WAYNE, IN 46804
Allen County (260) 432-7970
DR. GRACE XINXING CLARK DDS
Dentist (General Practice)
4716 ILLINOIS RD STE 101
FORT WAYNE, IN 46804
Allen County (260) 432-7970
DR. OLUROTIMI ADEDAPO OGUNDIPE DDS
Dentist
4716 ILLINOIS RD STE 101
FORT WAYNE, IN 46804
Allen County (260) 432-7970
DR. ANDREA NUMBERS DMD
Dentist
4716 ILLINOIS RD STE 101
FORT WAYNE, IN 46804
Allen County (260) 432-7970

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 Orchard Dental LLC's NPI number?

The NPI number for Orchard Dental LLC is 1205730215. It was assigned to this organization in the NPPES registry on October 5, 2026.

Where is Orchard Dental LLC located?

Orchard Dental LLC is located at 4716 Illinois Rd Ste 101, Fort Wayne, IN 46804. The listed phone number is (260) 432-7970.

What is Orchard Dental LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Orchard Dental LLC was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.