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SHAMBAUGH DENTAL GROUP
NPI 1417326083
Dentist - General Practice in Fort Wayne, IN

Active since September 24, 2015
4616 W JEFFERSON BLVD, FORT WAYNE, IN 46804(260) 432-8596 Get Directions Write a Review

NPPES record last updated: May 2, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shambaugh Dental Group NPPES

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

SHAMBAUGH DENTAL GROUP (NPI 1417326083) is a healthcare organization registered as a general practice in Fort Wayne, Indiana and active in the NPI registry since September 2015. The organization lists Amanda Rutherford, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1417326083
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMIDTOWN DENTAL P C
Location Address4616 W JEFFERSON BLVDFort Wayne, IN 46804-6826
Mailing Address4616 W Jefferson BlvdFort Wayne, IN 46804-6826 · (260) 432-8596
Phone(260) 432-8596
Organization SubpartNo
Authorized OfficialAmanda RutherfordOffice Manager · (260) 432-8596
Enumeration DateSeptember 24, 2015
Last NPPES UpdateMay 2, 2016
✔ NPI 1417326083 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.
4616 W JEFFERSON BLVD, Fort Wayne, IN 46804
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Other Names 1

Doing Business AsShambaugh Dental Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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. LORA WONDERLY DMD
Dentist (General Practice)
4616 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 432-8596
SHUTONG AKMAL, DMD, LLC
Clinic/Center (Dental)
4616 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 432-8414
DR. SONYA ANN SHIVELY DDS
Dentist (General Practice)
4616 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 432-8414
BERGER DENTISTRY SW
Dentist
4616 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 432-8596

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 Midtown Dental P C's NPI number?

The NPI number for Midtown Dental P C is 1417326083. It was assigned to this organization in the NPPES registry on September 24, 2015. The provider is doing business as Shambaugh Dental Group.

Where is Midtown Dental P C located?

Midtown Dental P C is located at 4616 W Jefferson Blvd, Fort Wayne, IN 46804. The listed phone number is (260) 432-8596.

What is Midtown Dental P C'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 Midtown Dental P C was last updated on May 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.