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FORT WAYNE PROSTHODONTICS, INC.
NPI 1447713219
Dentist - Prosthodontics in Fort Wayne, IN

Active since April 09, 2019
4205 HOBSON CT, FORT WAYNE, IN 46815(260) 486-8778 Get Directions Write a Review

NPPES record last updated: September 10, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 10, 2020, Aug 28, 2019, May 7, 2019 and 1 more (4 updates tracked since 2019).

About Fort Wayne Prosthodontics, Inc. NPPES

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

FORT WAYNE PROSTHODONTICS, INC. (NPI 1447713219), doing business as Ryan Zimmerman Dds Inc, is a healthcare organization registered as a prosthodontics in Fort Wayne, Indiana and active in the NPI registry since April 2019. The organization lists Kellie Jae Brower, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1447713219
Entity TypeOrganization
Primary Taxonomy1223P0700X
Legal Business NameFORT WAYNE PROSTHODONTICS, INC.
Location Address4205 HOBSON CTFort Wayne, IN 46815-8648
Mailing Address4205 Hobson CtFort Wayne, IN 46815-8648 · (260) 486-8778
Phone(260) 486-8778
Organization SubpartNo
Authorized OfficialKellie Jae BrowerOffice Manager · (260) 486-8778
Enumeration DateApril 9, 2019
Last NPPES UpdateSeptember 10, 20204 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2020
✔ NPI 1447713219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
4205 HOBSON CT, Fort Wayne, IN 46815
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Other Names 1

Former Legal Business NameRyan Zimmerman Dds Inc

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

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. GARY LYNN GOTSCH D.D.S, M.S.D.
Dentist (Prosthodontics)
4205 HOBSON CT
FORT WAYNE, IN 46815
Allen County (260) 486-8778
GARY L. GOTSCH DDS, MSD, LLC
Dentist (Prosthodontics)
4205 HOBSON CT
FORT WAYNE, IN 46815
Allen County (260) 486-8788
RYAN DEAN ZIMMERMAN DMD
Dentist (Prosthodontics)
4205 HOBSON CT
FORT WAYNE, IN 46815
Allen County (260) 486-8778
GARY L. GOTSCH DDS MSD
Dentist (Prosthodontics)
4205 HOBSON CT
FORT WAYNE, IN 46815
Allen County (260) 486-8778

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 Fort Wayne Prosthodontics, Inc.'s NPI number?

The NPI number for Fort Wayne Prosthodontics, Inc. is 1447713219. It was assigned to this organization in the NPPES registry on April 9, 2019. The provider was formerly known as Ryan Zimmerman Dds Inc.

Where is Fort Wayne Prosthodontics, Inc. located?

Fort Wayne Prosthodontics, Inc. is located at 4205 Hobson Ct, Fort Wayne, IN 46815. The listed phone number is (260) 486-8778.

What is Fort Wayne Prosthodontics, Inc.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

When was this NPI record last updated?

The NPPES record for Fort Wayne Prosthodontics, Inc. was last updated on September 10, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.