IndividualActive
Robert Ketcham, D.D.S., M.S.D
NPI 1841317518 · Prosthodontics · Fort Wayne, IN
Provider details
- NPI number
- 1841317518
- Entity type
- Individual
- Primary specialty
- ProsthodonticsDental Providers
- Credential
- D.D.S., M.S.D
- Sex
- Male
- Sole proprietor
- No
- License
- 12006504A (IN)
Specialties & taxonomies
Dental Providers
Practice location
1120 E Dupont Rd
Fort Wayne, IN 46825-1556
Phone: (260) 497-0497
Fax: (260) 489-4853
Approximate (ZIP-level) locationGet directions
Mailing address
1120 E Dupont Rd
Fort Wayne, IN 46825-1556
Registry dates
- Enumerated
- 2007-03-26
- Last updated
- 2008-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.