OrganizationActive
Root Canal Specialty Services Inc
NPI 1669589941 · Endodontics · Fort Wayne, IN
Root Canal Specialty Services Inc is a Endodontics organization in Fort Wayne, IN (NPI 1669589941).
Provider details
- NPI number
- 1669589941
- Entity type
- Organization
- Primary specialty
- EndodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Robert Mabry, President(260) 436-9439
- License
- 8592 (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
20 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
4636 W Jefferson Blvd
Fort Wayne, IN 46804
Phone: (260) 436-9439
Fax: (260) 436-9467
Street-level locationGet directions
Mailing address
4636 W Jefferson Blvd
Fort Wayne, IN 46804
Registry dates
- Enumerated
- 2006-08-24
- Last updated
- 2020-08-22
Frequently asked questions
- What is Root Canal Specialty Services Inc's NPI number?
- Root Canal Specialty Services Inc's National Provider Identifier (NPI) is 1669589941, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Root Canal Specialty Services Inc?
- Root Canal Specialty Services Inc is classified in the NPPES registry as Endodontics (Dental Providers).
- Where is Root Canal Specialty Services Inc located?
- Root Canal Specialty Services Inc's practice location on file with NPPES is 4636 W Jefferson Blvd, Fort Wayne, IN 46804.
- What is Root Canal Specialty Services Inc's phone number?
- The practice phone number listed in the NPPES registry for Root Canal Specialty Services Inc is (260) 436-9439.
- Who is the authorized official for Root Canal Specialty Services Inc?
- The authorized official listed on Root Canal Specialty Services Inc's NPPES record is Robert Mabry, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Root Canal Specialty Services Inc's NPI active?
- Yes — Root Canal Specialty Services Inc's NPI (1669589941) 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.