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FORT WAYNE PEDIATRIC DENTISTRY LLC
NPI 1689185886
Dentist - Pediatric Dentistry in Fort Wayne, IN

Active since October 16, 2017
10211 DUPONT CIRCLE DR W, FORT WAYNE, IN 46825(260) 490-5437 Get Directions Write a Review

NPPES record last updated: October 16, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fort Wayne Pediatric Dentistry Llc NPPES

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

FORT WAYNE PEDIATRIC DENTISTRY LLC (NPI 1689185886) is a healthcare organization registered as a pediatric dentistry in Fort Wayne, Indiana and active in the NPI registry since October 2017. The organization lists Kevin Ludwig, Owner/pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1689185886
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameFORT WAYNE PEDIATRIC DENTISTRY LLC
Location Address10211 DUPONT CIRCLE DR WFort Wayne, IN 46825-1622
Mailing Address378 Elderwood CtFort Wayne, IN 46845-4510 · (219) 929-6739
Phone(260) 490-5437
Organization SubpartNo
Authorized OfficialKevin LudwigOwner/pediatric Dentist · (219) 929-6739
Enumeration DateOctober 16, 2017
✔ NPI 1689185886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in IN · 12011802A
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
10211 DUPONT CIRCLE DR W, Fort Wayne, IN 46825
Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include DentaQuest USA Insurance.Insurance ›

Other Providers at the Same Location NPPES

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

DR. KEVIN HARRINGTON LUDWIG D.D.S.
Dentist (Pediatric Dentistry)
10211 DUPONT CIRCLE DR W, SUITE B
FORT WAYNE, IN 46825
Allen County (260) 490-5437

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 Pediatric Dentistry LLC's NPI number?

The NPI number for Fort Wayne Pediatric Dentistry LLC is 1689185886. It was assigned to this organization in the NPPES registry on October 16, 2017.

Where is Fort Wayne Pediatric Dentistry LLC located?

Fort Wayne Pediatric Dentistry LLC is located at 10211 Dupont Circle Dr W, Fort Wayne, IN 46825. The listed phone number is (260) 490-5437.

What is Fort Wayne Pediatric Dentistry LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Fort Wayne Pediatric Dentistry LLC accept?

Health plans from DentaQuest USA Insurance list Fort Wayne Pediatric Dentistry LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fort Wayne Pediatric Dentistry LLC was last updated on October 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.