OrganizationActive
Pediatric Dentistry Inc
NPI 1104859701 · Pediatric Dentistry · Fort Wayne, IN
Pediatric Dentistry Inc is a Pediatric Dentistry organization in Fort Wayne, IN (NPI 1104859701).
Provider details
- NPI number
- 1104859701
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Wayne Dawes, President Owner(260) 459-0903
- License
- 54000382A (IN)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 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 West Jefferson Blvd
Fort Wayne, IN 46804-4136
Phone: (260) 459-0903
Fax: (260) 459-0673
Street-level locationGet directions
Mailing address
7750 West Jefferson Blvd
Fort Wayne, IN 46804-4136
Other names (DBA / former)
- Former legal business name
- Wayne L Dawes DDS Inc
Registry dates
- Enumerated
- 2006-07-08
- Last updated
- 2020-08-22
Frequently asked questions
- What is Pediatric Dentistry Inc's NPI number?
- Pediatric Dentistry Inc's National Provider Identifier (NPI) is 1104859701, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediatric Dentistry Inc?
- Pediatric Dentistry Inc is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Pediatric Dentistry Inc located?
- Pediatric Dentistry Inc's practice location on file with NPPES is 7750 West Jefferson Blvd, Fort Wayne, IN 46804-4136.
- What is Pediatric Dentistry Inc's phone number?
- The practice phone number listed in the NPPES registry for Pediatric Dentistry Inc is (260) 459-0903.
- Who is the authorized official for Pediatric Dentistry Inc?
- The authorized official listed on Pediatric Dentistry Inc's NPPES record is Wayne Dawes, President Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediatric Dentistry Inc's NPI active?
- Yes — Pediatric Dentistry Inc's NPI (1104859701) 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.