OrganizationActive
Midtown Dental P C
NPI 1417326083 · General Practice Dentistry · Fort Wayne, IN
Midtown Dental P C is a General Practice Dentistry organization in Fort Wayne, IN (NPI 1417326083).
Provider details
- NPI number
- 1417326083
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Amanda Rutherford, Office Manager(260) 432-8596
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
4616 W Jefferson Blvd
Fort Wayne, IN 46804-6826
Phone: (260) 432-8596
Street-level locationGet directions
Mailing address
4616 W Jefferson Blvd
Fort Wayne, IN 46804-6826
Other names (DBA / former)
- Doing business as
- Shambaugh Dental Group
Registry dates
- Enumerated
- 2015-09-24
- Last updated
- 2016-05-02
Frequently asked questions
- What is Midtown Dental P C's NPI number?
- Midtown Dental P C's National Provider Identifier (NPI) is 1417326083, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Midtown Dental P C?
- Midtown Dental P C is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Midtown Dental P C located?
- Midtown Dental P C's practice location on file with NPPES is 4616 W Jefferson Blvd, Fort Wayne, IN 46804-6826.
- What is Midtown Dental P C's phone number?
- The practice phone number listed in the NPPES registry for Midtown Dental P C is (260) 432-8596.
- Who is the authorized official for Midtown Dental P C?
- The authorized official listed on Midtown Dental P C's NPPES record is Amanda Rutherford, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Midtown Dental P C's NPI active?
- Yes — Midtown Dental P C's NPI (1417326083) is active in the NPPES registry as of the last update on 2016-05-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.