PEDIATRIC DENTAL ASSOCIATES PC
NPI 1477678167
Dentist - Pediatric Dentistry in Fort Wayne, IN

Active since March 20, 2007
7750 WEST JEFFERSON BLVD, FORT WAYNE, IN 46804(260) 459-0903(260) 459-0673 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Pediatric Dental Associates Pc NPPES

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

PEDIATRIC DENTAL ASSOCIATES PC (NPI 1477678167) is a healthcare organization registered as a pediatric dentistry in Fort Wayne, Indiana and active in the NPI registry since March 2007. The organization lists Andrew Steven Hobbs, President Owner, as its authorized official.

NPPES Registry Identity

NPI1477678167
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC DENTAL ASSOCIATES PC
Location Address7750 WEST JEFFERSON BLVDFort Wayne, IN 46804-4174
Mailing Address7750 West Jefferson BlvdFort Wayne, IN 46804-4174 · (260) 459-0903 · Fax (260) 459-0673
Fax(260) 459-0673
Organization SubpartNo
Authorized OfficialAndrew Steven HobbsPresident Owner · (260) 459-0903
Enumeration DateMarch 20, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1477678167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in IN · 54001532A
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
7750 WEST JEFFERSON BLVD, Fort Wayne, IN 46804

Other Identifiers 1

Other104667IN · Depthealth Childrens Shcs

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 2

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

Dentist (Pediatric Dentistry)
7750 WEST JEFFERSON BLVD
FORT WAYNE, IN 46804
Dentist (Pediatric Dentistry)
7750 WEST JEFFERSON BLVD
FORT WAYNE, IN 46804

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 Pediatric Dental Associates PC's NPI number?

The NPI number for Pediatric Dental Associates PC is 1477678167. It was assigned to this organization in the NPPES registry on March 20, 2007.

Where is Pediatric Dental Associates PC located?

Pediatric Dental Associates PC is located at 7750 West Jefferson Blvd, Fort Wayne, IN 46804. The listed phone number is (260) 459-0903.

What is Pediatric Dental Associates PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Pediatric Dental Associates PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.