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BOWSER FAMILY DENTISTRY LLC
NPI 1669269577
Clinic/Center - Dental in Fort Wayne, IN

Active since April 23, 2025
3615 LAKE AVE, FORT WAYNE, IN 46805(260) 424-6031(260) 755-5176 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bowser Family Dentistry Llc NPPES

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

BOWSER FAMILY DENTISTRY LLC (NPI 1669269577) is a healthcare organization registered as a dental in Fort Wayne, Indiana and active in the NPI registry since April 2025. The organization lists Kevin James Bowser, Member, as its authorized official.

NPPES Registry Identity

NPI1669269577
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameBOWSER FAMILY DENTISTRY LLC
Location Address3615 LAKE AVEFort Wayne, IN 46805-5539
Mailing Address330 Bayspring DrFort Wayne, IN 46814-9052
Phone(260) 424-6031
Fax(260) 755-5176
Organization SubpartNo
Authorized OfficialKevin James BowserMember · (574) 215-6544
Enumeration DateApril 23, 2025
NPPES CertifiedApril 23, 2025
✔ NPI 1669269577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
3615 LAKE AVE, 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. ROLAND FRED SLYBY DDS
Dentist
3615 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 424-6373
ROBERT STEPHEN SCHRECK DDS
Dentist (General Practice)
3615 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 424-6031
DR. BENJAMIN CLINKENBEARD DDS
Dentist (General Practice)
3615 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 615-9177

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 Bowser Family Dentistry LLC's NPI number?

The NPI number for Bowser Family Dentistry LLC is 1669269577. It was assigned to this organization in the NPPES registry on April 23, 2025.

Where is Bowser Family Dentistry LLC located?

Bowser Family Dentistry LLC is located at 3615 Lake Ave, Fort Wayne, IN 46805. The listed phone number is (260) 424-6031.

What is Bowser Family 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 Bowser Family Dentistry LLC was last updated on April 23, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.