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DR. MATHEW KAVANAUGH DDS
NPI 1780800243
Dentist in Fort Wayne, IN

Active since April 17, 2007
2828 E STATE BLVD, SUITE B, FORT WAYNE, IN 46805(260) 482-6689(260) 482-6948 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mathew Kavanaugh Dds NPPES

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

DR. MATHEW KAVANAUGH DDS (NPI 1780800243) is an individual dentist in Fort Wayne, Indiana, licensed in Indiana (12010783A) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1780800243
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. MATHEW KAVANAUGHCredential: DDS
Location Address2828 E STATE BLVD, SUITE BFort Wayne, IN 46805-4761
Mailing Address2828 E State Blvd, Suite BFort Wayne, IN 46805-4761 · (260) 482-6689 · Fax (260) 482-6948
Phone(260) 482-6689
Fax(260) 482-6948
Sole ProprietorNo
Enumeration DateApril 17, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1780800243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IN · 12010783A
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
2828 E STATE BLVD, Fort Wayne, IN 46805
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

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.

NOOPUR PATEL
Dentist
2828 E STATE BLVD, SUITE A
FORT WAYNE, IN 46805
Allen County (260) 482-6689
NKECHI A WAN DDS
Dentist
2828 E STATE BLVD, SUITE B
FORT WAYNE, IN 46805
Allen County (260) 482-6689
LIFETIME DENTAL CARE OF INDIANA, PC
Dentist (General Practice)
2828 E STATE BLVD
FORT WAYNE, IN 46805
Allen County (260) 482-6689
DR. CHAD STOLLER DDS, PA-C
Dentist
2828 E STATE BLVD
FORT WAYNE, IN 46805
Allen County (260) 482-6689

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 Mathew Kavanaugh's NPI number?

The NPI number for Mathew Kavanaugh is 1780800243. It was assigned to this individual provider in the NPPES registry on April 17, 2007.

Where is Mathew Kavanaugh located?

Mathew Kavanaugh practices at 2828 E State Blvd Suite B, Fort Wayne, IN 46805. The listed phone number is (260) 482-6689.

What is Mathew Kavanaugh's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Mathew Kavanaugh accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Mathew Kavanaugh 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 Mathew Kavanaugh was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.