ROOT CANAL SPECIALTY SERVICES INC
NPI 1669589941
Dentist - Endodontics in Fort Wayne, IN

Active since August 24, 2006
4636 W JEFFERSON BLVD, FORT WAYNE, IN 46804(260) 436-9439(260) 436-9467 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Root Canal Specialty Services Inc NPPES

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

ROOT CANAL SPECIALTY SERVICES INC (NPI 1669589941) is a healthcare organization registered as an endodontics in Fort Wayne, Indiana and active in the NPI registry since August 2006. The organization lists Robert Todd Mabry, President, as its authorized official.

NPPES Registry Identity

NPI1669589941
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameROOT CANAL SPECIALTY SERVICES INC
Location Address4636 W JEFFERSON BLVDFort Wayne, IN 46804
Mailing Address4636 W Jefferson BlvdFort Wayne, IN 46804 · (260) 436-9439 · Fax (260) 436-9467
Fax(260) 436-9467
Organization SubpartNo
Authorized OfficialRobert Todd MabryPresident · (260) 436-9439
Enumeration DateAugust 24, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1669589941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License Licensed in IN · 8592
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.
4636 W JEFFERSON BLVD, Fort Wayne, IN 46804

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

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

Dentist (Endodontics)
4636 W 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 Root Canal Specialty Services Inc's NPI number?

The NPI number for Root Canal Specialty Services Inc is 1669589941. It was assigned to this organization in the NPPES registry on August 24, 2006.

Where is Root Canal Specialty Services Inc located?

Root Canal Specialty Services Inc is located at 4636 W Jefferson Blvd, Fort Wayne, IN 46804. The listed phone number is (260) 436-9439.

What is Root Canal Specialty Services 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 Root Canal Specialty Services 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.