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LAFAYETTE STREET DENTAL CLINIC
NPI 1326249376
Dentist in Fort Wayne, IN

Active since May 29, 2007CLIA 15D1061322 · Microscopy
2700 SOUTH LAFAYETTE STREET, FORT WAYNE, IN 46806(260) 744-1188 Get Directions Write a Review

NPPES record last updated: July 23, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lafayette Street Dental Clinic NPPES

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

LAFAYETTE STREET DENTAL CLINIC (NPI 1326249376) is a healthcare organization registered as a dentist in Fort Wayne, Indiana and active in the NPI registry since May 2007. The organization holds a CLIA Microscopy certificate valid through November 14, 2026 and lists Joan M Vaughan, Director Hipaa Privacy Compliance, as its authorized official.

NPPES Registry Identity

NPI1326249376
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NamePURDUE UNIVERSITY
Location Address2700 SOUTH LAFAYETTE STREETFort Wayne, IN 46806
Mailing Address601 Stadium Mall DriveWest Lafayette, IN 47907-2052 · (765) 496-1927 · Fax (765) 496-1227
Phone(260) 744-1188
Organization SubpartYes
Authorized OfficialJoan M VaughanDirector Hipaa Privacy Compliance · (765) 496-1927
Enumeration DateMay 29, 2007
Last NPPES UpdateJuly 23, 2008
✔ NPI 1326249376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
2700 SOUTH LAFAYETTE STREET, Fort Wayne, IN 46806
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Other Names 1

Doing Business AsLafayette Street Dental Clinic

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 15D1061322

Lafayette Street Family Health Clinic · Fort Wayne, IN
Active · expires Nov 14, 2026
CLIA Number15D1061322
Laboratory TypeCommunity Clinic
Certificate Effective DateNovember 15, 2024
Certificate Expiration DateNovember 14, 2026
Laboratory DirectorAshley E. Berish
Laboratory Phone(260) 702-4404
Laboratory LocationLafayette Street Family Health Clinic2700 S Lafayette Street, Suite 200, Fort Wayne, IN 46806
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

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

INDIANA UNIVERSITY
Clinic/Center (Ambulatory Family Planning Facility)
2700 SOUTH LAFAYETTE STREET
FORT WAYNE, IN 46806
Allen County (260) 744-3000

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 Purdue University's NPI number?

The NPI number for Purdue University is 1326249376. It was assigned to this organization in the NPPES registry on May 29, 2007. The provider is doing business as Lafayette Street Dental Clinic.

Where is Purdue University located?

Purdue University is located at 2700 South Lafayette Street, Fort Wayne, IN 46806. The listed phone number is (260) 744-1188.

What is Purdue University's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Does Purdue University hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 15D1061322) is associated with this NPI, valid through November 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Purdue University was last updated on July 23, 2008. 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.