OrganizationActive
Bradford H Korn DDS, Inc.
NPI 1891883633 · Dental Clinic/Center · Fort Wayne, IN
Provider details
- NPI number
- 1891883633
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Bradford Korn, President(260) 432-3588
- License
- 12007256 (IN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
4656 W Jefferson Blvd
Suite 220
Fort Wayne, IN 46804-6857
Phone: (260) 432-3588
Fax: (260) 459-0729
Approximate (ZIP-level) locationGet directions
Mailing address
4656 W Jefferson Blvd
Fort Wayne, IN 46804-6857
Registry dates
- Enumerated
- 2006-10-10
- Last updated
- 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.