OrganizationActive
Fort Wayne Prosthodontics, Inc.
NPI 1447713219 · Prosthodontics · Fort Wayne, IN
Provider details
- NPI number
- 1447713219
- Entity type
- Organization
- Primary specialty
- ProsthodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Kellie Brower, Office Manager(260) 486-8778
Specialties & taxonomies
Dental Providers
Practice location
4205 Hobson Ct
Fort Wayne, IN 46815-8648
Phone: (260) 486-8778
Approximate (ZIP-level) locationGet directions
Mailing address
4205 Hobson Ct
Fort Wayne, IN 46815-8648
Other names (DBA / former)
- Former legal business name
- Ryan Zimmerman DDS Inc
Registry dates
- Enumerated
- 2019-04-09
- Last updated
- 2020-09-10
- Certified
- 2020-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.