OrganizationActive
Fort Wayne Pediatric Dentistry LLC
NPI 1689185886 · Pediatric Dentistry · Fort Wayne, IN
Provider details
- NPI number
- 1689185886
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Kevin Ludwig, Owner/Pediatric Dentist(219) 929-6739
- License
- 12011802A (IN)
Specialties & taxonomies
Dental Providers
Practice location
10211 Dupont Circle Dr W
Fort Wayne, IN 46825-1622
Phone: (260) 490-5437
Approximate (ZIP-level) locationGet directions
Mailing address
378 Elderwood Ct
Fort Wayne, IN 46845-4510
Registry dates
- Enumerated
- 2017-10-16
- Last updated
- 2017-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.