OrganizationActive
Periodontics Limited
NPI 1053408609 · Periodontics · Fort Wayne, IN
Periodontics Limited is a Periodontics organization in Fort Wayne, IN (NPI 1053408609).
Provider details
- NPI number
- 1053408609
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Lloyd Hagedorn, Senior Partner(260) 432-0577
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
7750 W Jefferson Blvd
Fort Wayne, IN 46804-4174
Phone: (260) 432-0577
Fax: (260) 432-0578
Street-level locationGet directions
Mailing address
7750 W Jefferson Blvd
Fort Wayne, IN 46804-4174
Registry dates
- Enumerated
- 2006-10-06
- Last updated
- 2020-08-22
Frequently asked questions
- What is Periodontics Limited's NPI number?
- Periodontics Limited's National Provider Identifier (NPI) is 1053408609, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Periodontics Limited?
- Periodontics Limited is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Periodontics Limited located?
- Periodontics Limited's practice location on file with NPPES is 7750 W Jefferson Blvd, Fort Wayne, IN 46804-4174.
- What is Periodontics Limited's phone number?
- The practice phone number listed in the NPPES registry for Periodontics Limited is (260) 432-0577.
- Who is the authorized official for Periodontics Limited?
- The authorized official listed on Periodontics Limited's NPPES record is Lloyd Hagedorn, Senior Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Periodontics Limited's NPI active?
- Yes — Periodontics Limited's NPI (1053408609) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.