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PHILIP C ROACH D.D.S.
NPI 1265562235
Dentist - General Practice in Fort Wayne, IN

Active since March 07, 2007
2121 E DUPONT RD, SUITE B, FORT WAYNE, IN 46825(260) 489-1818(260) 490-1705 Get Directions Write a Review

NPPES record last updated: October 9, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Philip C Roach D.d.s. NPPES

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

PHILIP C ROACH D.D.S. (NPI 1265562235) is an individual general practice provider in Fort Wayne, Indiana, licensed in Indiana (12008612A) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1265562235
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NamePHILIP C ROACHCredential: D.D.S.
Location Address2121 E DUPONT RD, SUITE BFort Wayne, IN 46825-1546
Mailing Address2121 E Dupont Rd, Suite BFort Wayne, IN 46825-1546 · (260) 489-1818 · Fax (260) 490-1705
Phone(260) 489-1818
Fax(260) 490-1705
Sole ProprietorYes
Enumeration DateMarch 7, 2007
Last NPPES UpdateOctober 9, 2007
✔ NPI 1265562235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IN · 12008612A
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.
2121 E DUPONT RD, Fort Wayne, IN 46825
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Other Identifiers 1

Medicare ID-Type Unspecified1001318160IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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. ALLISON BERGDOLL DDS, MS
Dentist (Orthodontics and Dentofacial Orthopedics)
2121 E DUPONT RD, SUITE D
FORT WAYNE, IN 46825
Allen County (260) 490-3554
FORT WAYNE ORAL MAXILLOFACIAL SURGERY & IMPLANT CENTER, LLC
Dentist (Oral and Maxillofacial Surgery)
2121 E DUPONT RD, SUITE #C
FORT WAYNE, IN 46825
Allen County (260) 490-2013
DR. GEORGE ROBERT COOPER IV DMD
Dentist
2121 E DUPONT RD, SUITE E
FORT WAYNE, IN 46825
Allen County (260) 489-1508
DR. MULOKOZI K LUGAKINGIRA DMD, DDS, MS.
Dentist (General Practice)
2121 E DUPONT RD, C
FORT WAYNE, IN 46825
Allen County (260) 490-2013

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 Philip Roach's NPI number?

The NPI number for Philip Roach is 1265562235. It was assigned to this individual provider in the NPPES registry on March 7, 2007.

Where is Philip Roach located?

Philip Roach practices at 2121 E Dupont Rd Suite B, Fort Wayne, IN 46825. The listed phone number is (260) 489-1818.

What is Philip Roach's specialty?

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

What insurance does Philip Roach accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, DentaQuest USA Insurance and Guardian and 1 other insurer list Philip Roach 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 Philip Roach was last updated on October 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.