IndividualActive
Angela Becker, DDS MSD
NPI 1891825543 · Orthodontics and Dentofacial Orthopedics Dentistry · Fort Wayne, IN
Provider details
- NPI number
- 1891825543
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DDS MSD
- Sex
- Female
- Sole proprietor
- No
- License
- 12009655A (IN)
Specialties & taxonomies
Dental Providers
Practice location
4638 W Jefferson Blvd
Fort Wayne, IN 46804-6886
Phone: (260) 432-2147
Fax: (260) 432-4968
Approximate (ZIP-level) locationGet directions
Mailing address
4638 W Jefferson Blvd
Fort Wayne, IN 46804-6886
Registry dates
- Enumerated
- 2007-03-06
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.