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FORT WAYNE ORAL MAXILLOFACIAL SURGERY & IMPLANT CENTER, LLC
NPI 1649347832
Dentist - Oral and Maxillofacial Surgery in Fort Wayne, IN

Active since November 30, 2006
2121 E DUPONT RD, SUITE #C, FORT WAYNE, IN 46825(260) 490-2013(260) 490-1081 Get Directions Write a Review

NPPES record last updated: October 7, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fort Wayne Oral Maxillofacial Surgery & Implant Center, Llc NPPES

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

FORT WAYNE ORAL MAXILLOFACIAL SURGERY & IMPLANT CENTER, LLC (NPI 1649347832) is a healthcare organization registered as an oral and maxillofacial surgery in Fort Wayne, Indiana and active in the NPI registry since November 2006. The organization lists Mulokozi K. Lugakingira, President, as its authorized official.

NPPES Registry Identity

NPI1649347832
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameFORT WAYNE ORAL MAXILLOFACIAL SURGERY & IMPLANT CENTER, LLC
Location Address2121 E DUPONT RD, SUITE #CFort Wayne, IN 46825-1546
Mailing Address2121 E Dupont Rd, Suite #cFort Wayne, IN 46825-1546 · (260) 490-2013 · Fax (260) 490-1081
Phone(260) 490-2013
Fax(260) 490-1081
Organization SubpartNo
Authorized OfficialMulokozi K. LugakingiraPresident · (260) 490-2013
Enumeration DateNovember 30, 2006
Last NPPES UpdateOctober 7, 2013
✔ NPI 1649347832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
2121 E DUPONT RD, Fort Wayne, IN 46825
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Other Identifiers 2

Medicaid201036240IN
Medicare PINM400059365IN

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. ALLISON BERGDOLL DDS, MS
Dentist (Orthodontics and Dentofacial Orthopedics)
2121 E DUPONT RD, SUITE D
FORT WAYNE, IN 46825
Allen County (260) 490-3554
PHILIP C ROACH D.D.S.
Dentist (General Practice)
2121 E DUPONT RD, SUITE B
FORT WAYNE, IN 46825
Allen County (260) 489-1818
DR. GEORGE ROBERT COOPER IV DMD
Dentist
2121 E DUPONT RD, SUITE E
FORT WAYNE, IN 46825
Allen County (260) 489-1508
DR. MULOKOZI K LUGAKINGIRA DMD, DDS, MS.
Dentist (General Practice)
2121 E DUPONT RD, C
FORT WAYNE, IN 46825
Allen County (260) 490-2013

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 Oral Maxillofacial Surgery & Implant Center, LLC's NPI number?

The NPI number for Fort Wayne Oral Maxillofacial Surgery & Implant Center, LLC is 1649347832. It was assigned to this organization in the NPPES registry on November 30, 2006.

Where is Fort Wayne Oral Maxillofacial Surgery & Implant Center, LLC located?

Fort Wayne Oral Maxillofacial Surgery & Implant Center, LLC is located at 2121 E Dupont Rd Suite #c, Fort Wayne, IN 46825. The listed phone number is (260) 490-2013.

What is Fort Wayne Oral Maxillofacial Surgery & Implant Center, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Fort Wayne Oral Maxillofacial Surgery & Implant Center, LLC was last updated on October 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.