1. Home
  2. Directory
  3. Indiana
  4. Fort Wayne
  5. Dentist
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MICHAEL THOMAS TOM D.D.S.
NPI 1477558138
Dentist in Fort Wayne, IN

Active since June 17, 2005
1220 MEDICAL PARK DR, STE 1, FORT WAYNE, IN 46825(260) 482-9196(260) 484-3371 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michael Thomas Tom D.d.s. NPPES

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

DR. MICHAEL THOMAS TOM D.D.S. (NPI 1477558138) is an individual dentist in Fort Wayne, Indiana, licensed in Indiana (12010084A) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1477558138
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. MICHAEL THOMAS TOMCredential: D.D.S.
Location Address1220 MEDICAL PARK DR, STE 1Fort Wayne, IN 46825-5843
Mailing Address1220 Medical Park Dr, Ste 1Fort Wayne, IN 46825-5843 · (260) 482-9196 · Fax (260) 484-3371
Phone(260) 482-9196
Fax(260) 484-3371
Sole ProprietorNo
Enumeration DateJune 17, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1477558138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IN · 12010084A
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.
1220 MEDICAL PARK DR, Fort Wayne, IN 46825
Open in Google Maps ↗

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 ›

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 Michael Tom's NPI number?

The NPI number for Michael Tom is 1477558138. It was assigned to this individual provider in the NPPES registry on June 17, 2005.

Where is Michael Tom located?

Michael Tom practices at 1220 Medical Park Dr Ste 1, Fort Wayne, IN 46825. The listed phone number is (260) 482-9196.

What is Michael Tom's specialty?

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

What insurance does Michael Tom 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 and Delta Dental of Indiana list Michael Tom 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 Michael Tom was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.