OrganizationActive
Prime Dental Care LLC
NPI 1053199539 · General Practice Dentistry · Fort Wayne, IN
Prime Dental Care LLC is a General Practice Dentistry organization in Fort Wayne, IN (NPI 1053199539).
Provider details
- NPI number
- 1053199539
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Vijay Kumar Godi, Dentist(419) 788-5803
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
435 W Coliseum Blvd
Fort Wayne, IN 46805-1010
Phone: (260) 263-6200
Street-level locationGet directions
Mailing address
3210 Troutwood Dr
Fort Wayne, IN 46818-8791
Other names (DBA / former)
- Doing business as
- Prime Dental
Registry dates
- Enumerated
- 2023-09-18
- Last updated
- 2023-09-18
- Certified
- 2023-09-17
Frequently asked questions
- What is Prime Dental Care LLC's NPI number?
- Prime Dental Care LLC's National Provider Identifier (NPI) is 1053199539, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prime Dental Care LLC?
- Prime Dental Care LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Prime Dental Care LLC located?
- Prime Dental Care LLC's practice location on file with NPPES is 435 W Coliseum Blvd, Fort Wayne, IN 46805-1010.
- What is Prime Dental Care LLC's phone number?
- The practice phone number listed in the NPPES registry for Prime Dental Care LLC is (260) 263-6200.
- Who is the authorized official for Prime Dental Care LLC?
- The authorized official listed on Prime Dental Care LLC's NPPES record is Vijay Kumar Godi, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prime Dental Care LLC's NPI active?
- Yes — Prime Dental Care LLC's NPI (1053199539) is active in the NPPES registry as of the last update on 2023-09-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.