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PROSPER HOLISTIC DENTISTRY LLC
NPI 1619811478
Clinic/Center - Dental in Fort Wayne, IN

Active since April 14, 2026
3030 LAKE AVE STE 15, FORT WAYNE, IN 46805(260) 888-4130 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Prosper Holistic Dentistry Llc NPPES

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

PROSPER HOLISTIC DENTISTRY LLC (NPI 1619811478) is a healthcare organization registered as a dental in Fort Wayne, Indiana and active in the NPI registry since April 2026. The organization lists Allyson Feasel, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1619811478
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePROSPER HOLISTIC DENTISTRY LLC
Location Address3030 LAKE AVE STE 15Fort Wayne, IN 46805-5428
Mailing Address3030 Lake Ave Ste 15Fort Wayne, IN 46805-5428
Phone(260) 888-4130
Organization SubpartNo
Authorized OfficialAllyson FeaselDentist/owner · (317) 607-7959
Enumeration DateApril 14, 2026
NPPES CertifiedApril 14, 2026
✔ NPI 1619811478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
3030 LAKE AVE STE 15, Fort Wayne, IN 46805
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Other Providers at the Same Location NPPES 3

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

DR. LUCIAN DAN BOBOIA DDS
Dentist (Dentist Anesthesiologist)
3030 LAKE AVE STE 15
FORT WAYNE, IN 46805
Allen County (512) 902-9997
INDIANA PEDIATRIC DENTAL & ANESTHESIA LLC
Dentist (Pediatric Dentistry)
3030 LAKE AVE STE 15
FORT WAYNE, IN 46805
Allen County (512) 902-9997
DR. ALLYSON NICOLE FEASEL DDS
Dentist
3030 LAKE AVE STE 15
FORT WAYNE, IN 46805
Allen County (317) 607-7959

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 Prosper Holistic Dentistry LLC's NPI number?

The NPI number for Prosper Holistic Dentistry LLC is 1619811478. It was assigned to this organization in the NPPES registry on April 14, 2026.

Where is Prosper Holistic Dentistry LLC located?

Prosper Holistic Dentistry LLC is located at 3030 Lake Ave Ste 15, Fort Wayne, IN 46805. The listed phone number is (260) 888-4130.

What is Prosper Holistic Dentistry LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Prosper Holistic Dentistry LLC was last updated on April 14, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.