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FORT WAYNE DENTAL GROUP, LLC
NPI 1922167188
Dentist - General Practice in Fort Wayne, IN

Active since December 06, 2006
7202 ENGLE RD, FORT WAYNE, IN 46804(260) 432-3459(260) 436-4757 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Fort Wayne Dental Group, Llc NPPES

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

FORT WAYNE DENTAL GROUP, LLC (NPI 1922167188) is a healthcare organization registered as a general practice in Fort Wayne, Indiana and active in the NPI registry since December 2006. The organization lists Brent E Mutton, Owner, as its authorized official.

NPPES Registry Identity

NPI1922167188
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameFORT WAYNE DENTAL GROUP, LLC
Location Address7202 ENGLE RDFort Wayne, IN 46804-2222
Mailing Address7202 Engle RdFort Wayne, IN 46804-2222 · (260) 432-3459 · Fax (260) 436-4757
Phone(260) 432-3459
Fax(260) 436-4757
Organization SubpartNo
Authorized OfficialBrent E MuttonOwner · (260) 432-3459
Enumeration DateDecember 6, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1922167188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in IN · 12010298A✔ Licensed in IN · 12008127
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentist · Pediatric DentistryTaxonomy 1223P0221X · License 12009199 (IN)

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

DR. KEVIN BRUCE WRIGHT DDS
Dentist
7202 ENGLE RD
FORT WAYNE, IN 46804
Allen County (260) 432-3459
DR. BRENT EDWARD MUTTON DDS
Dentist
7202 ENGLE RD
FORT WAYNE, IN 46804
Allen County (260) 432-3459
JORDYN CAFFRAY DDS
Dentist
7202 ENGLE RD
FORT WAYNE, IN 46804
Allen County (260) 432-3459
DR. MATTHEW LEROY CREECH DDS
Dentist
7202 ENGLE RD
FORT WAYNE, IN 46804
Allen County (260) 432-3459
DR. SARAH HAGEE DDS
Dentist
7202 ENGLE RD
FORT WAYNE, IN 46804
Allen County (260) 432-3459

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 Dental Group, LLC's NPI number?

The NPI number for Fort Wayne Dental Group, LLC is 1922167188. It was assigned to this organization in the NPPES registry on December 6, 2006.

Where is Fort Wayne Dental Group, LLC located?

Fort Wayne Dental Group, LLC is located at 7202 Engle Rd, Fort Wayne, IN 46804. The listed phone number is (260) 432-3459.

What is Fort Wayne Dental Group, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Fort Wayne Dental Group, LLC was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.