AEGIS DENTAL GROUP FORT WAYNE, LLC
NPI 1992506513
Clinic/Center - Dental in Fort Wayne, IN

Active since March 20, 2025
4975 W JEFFERSON BLVD, FORT WAYNE, IN 46804(574) 875-7711 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Aegis Dental Group Fort Wayne, Llc NPPES

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

AEGIS DENTAL GROUP FORT WAYNE, LLC (NPI 1992506513), doing business as Aegis Dental Group Fort Wayne, is a healthcare organization registered as a dental in Fort Wayne, Indiana and active in the NPI registry since March 2025. The organization lists Cynthia Neuenschwander, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1992506513
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameAEGIS DENTAL GROUP FORT WAYNE, LLC
Location Address4975 W JEFFERSON BLVDFort Wayne, IN 46804
Mailing Address4975 W Jefferson BlvdFort Wayne, IN 46804 · (574) 875-7711
Organization SubpartNo
Authorized OfficialCynthia NeuenschwanderChief Operating Officer · (574) 875-7711
Enumeration DateMarch 20, 2025
NPPES CertifiedMarch 18, 2025
NPI 1992506513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
4975 W JEFFERSON BLVD, Fort Wayne, IN 46804

Other Names 1

Doing Business AsAegis Dental Group Fort Wayne

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 (General Practice)
4975 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 Aegis Dental Group Fort Wayne, LLC's NPI number?

The NPI number for Aegis Dental Group Fort Wayne, LLC is 1992506513. It was assigned to this organization in the NPPES registry on March 20, 2025. The provider is doing business as Aegis Dental Group Fort Wayne.

Where is Aegis Dental Group Fort Wayne, LLC located?

Aegis Dental Group Fort Wayne, LLC is located at 4975 W Jefferson Blvd, Fort Wayne, IN 46804. The listed phone number is (574) 875-7711.

What is Aegis Dental Group Fort Wayne, 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 Aegis Dental Group Fort Wayne, LLC was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.