IndividualActive
Brian Hoagburg, DDS, MSD
NPI 1780293480 · Orthodontics and Dentofacial Orthopedics Dentistry · Fort Wayne, IN
Provider details
- NPI number
- 1780293480
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DDS, MSD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 12013167A (IN)
Specialties & taxonomies
Dental Providers
Practice location
9409 Illinois Rd
Fort Wayne, IN 46804-5795
Phone: (260) 486-4400
Approximate (ZIP-level) locationGet directions
Mailing address
9409 Illinois Rd
Fort Wayne, IN 46804-5795
Additional practice locations (1)
- 1568 Shook DrAuburn, IN 46706-9595Phone: (260) 486-4400
Registry dates
- Enumerated
- 2020-07-28
- Last updated
- 2023-10-23
- Certified
- 2023-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.