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GEORGETOWN NORTH DENTAL GROUP
NPI 1255849667
Clinic/Center - Dental in Fort Wayne, IN

Active since January 19, 2018
6405 GEORGETOWN NORTH BLVD, FORT WAYNE, IN 46815(260) 485-0583 Get Directions Write a Review

NPPES record last updated: July 20, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 20, 2022, Jan 19, 2018 (2 updates tracked since 2018).

About Georgetown North Dental Group NPPES

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

GEORGETOWN NORTH DENTAL GROUP (NPI 1255849667) is a healthcare organization registered as a dental in Fort Wayne, Indiana and active in the NPI registry since January 2018. The organization lists Opal Anderson, Regional Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1255849667
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameGEORGETOWN NORTH DENTAL CARE LLC
Location Address6405 GEORGETOWN NORTH BLVDFort Wayne, IN 46815-7007
Mailing Address6405 Georgetown North BlvdFort Wayne, IN 46815-7007 · (260) 485-0583
Phone(260) 485-0583
Organization SubpartNo
Authorized OfficialOpal AndersonRegional Operations Manager · (260) 485-0583
Enumeration DateJanuary 19, 2018
Last NPPES UpdateJuly 20, 20222 updates tracked since enumeration
NPPES CertifiedJuly 20, 2022
✔ NPI 1255849667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
6405 GEORGETOWN NORTH BLVD, Fort Wayne, IN 46815
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Other Names 1

Doing Business AsGeorgetown North Dental Group

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 4

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

DR. SHAMSA F KHAN DMD
Dentist
6405 GEORGETOWN NORTH BLVD
FORT WAYNE, IN 46815
Allen County (260) 485-0583
DR. DWANE RICHARD BRUICK DDS
Dentist
6405 GEORGETOWN NORTH BLVD
FORT WAYNE, IN 46815
Allen County (260) 485-0583
BRUICK DENTISTRY PC
Dentist (General Practice)
6405 GEORGETOWN NORTH BLVD
FORT WAYNE, IN 46815
Allen County (260) 485-0583
DR. PHIL NOBLE RUCKMAN III D.D.S.
Dentist (General Practice)
6405 GEORGETOWN NORTH BLVD
FORT WAYNE, IN 46815
Allen County (260) 485-0583

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 Georgetown North Dental Care LLC's NPI number?

The NPI number for Georgetown North Dental Care LLC is 1255849667. It was assigned to this organization in the NPPES registry on January 19, 2018. The provider is doing business as Georgetown North Dental Group.

Where is Georgetown North Dental Care LLC located?

Georgetown North Dental Care LLC is located at 6405 Georgetown North Blvd, Fort Wayne, IN 46815. The listed phone number is (260) 485-0583.

What is Georgetown North Dental Care LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Georgetown North Dental Care LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and UnitedHealthcare list Georgetown North Dental Care LLC 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 Georgetown North Dental Care LLC was last updated on July 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.