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ENDODONTIC ASSOCIATES, INC.
NPI 1528112562
Dentist - Endodontics in Fort Wayne, IN

Active since January 23, 2007
4640 W JEFFERSON BLVD, FORT WAYNE, IN 46804(260) 432-2813 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Endodontic Associates, Inc. NPPES

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

ENDODONTIC ASSOCIATES, INC. (NPI 1528112562) is a healthcare organization registered as an endodontics in Fort Wayne, Indiana and active in the NPI registry since January 2007. The organization lists Judy E Shively, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1528112562
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameENDODONTIC ASSOCIATES, INC.
Location Address4640 W JEFFERSON BLVDFort Wayne, IN 46804-6826
Mailing Address4640 W Jefferson BlvdFort Wayne, IN 46804-6826 · (260) 432-2813
Phone(260) 432-2813
Organization SubpartNo
Authorized OfficialJudy E ShivelyOffice Manager · (260) 432-2813
Enumeration DateJanuary 23, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1528112562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
Licenses✔ Licensed in IN · 12007603✔ Licensed in IN · 12007705✔ Licensed in IN · 12007721✔ Licensed in IN · 12010480
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
4640 W JEFFERSON BLVD, Fort Wayne, IN 46804
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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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

DR. DENNIS J ZENT DDS, MSD
Dentist (Endodontics)
4640 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 432-2813
DR. NED A WARNER DDS, PHD
Dentist (Endodontics)
4640 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 432-2813
DR. JAMES W FISHER D.D.S., M.SC.D.
Dentist (Endodontics)
4640 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 432-2813
COMMUNITY HCA, INC.
Home Health
4640 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 441-8302
DR. THOMAS G OLDAG DDS, MSD
Dentist (Endodontics)
4640 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 432-2813

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 Endodontic Associates, Inc.'s NPI number?

The NPI number for Endodontic Associates, Inc. is 1528112562. It was assigned to this organization in the NPPES registry on January 23, 2007.

Where is Endodontic Associates, Inc. located?

Endodontic Associates, Inc. is located at 4640 W Jefferson Blvd, Fort Wayne, IN 46804. The listed phone number is (260) 432-2813.

What is Endodontic Associates, Inc.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Endodontic Associates, Inc. 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 5 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.