Fort Wayne Dental Group, LLC
NPI 1922167188 · General Practice Dentistry · Fort Wayne, IN
Fort Wayne Dental Group, LLC is a General Practice Dentistry organization in Fort Wayne, IN (NPI 1922167188).
Provider details
- NPI number
- 1922167188
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Brent Mutton, Owner(260) 432-3459
- License
- 12008127 (IN)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-12-06
- Last updated
- 2025-09-11
Frequently asked questions
- What is Fort Wayne Dental Group, LLC's NPI number?
- Fort Wayne Dental Group, LLC's National Provider Identifier (NPI) is 1922167188, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fort Wayne Dental Group, LLC?
- Fort Wayne Dental Group, LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Fort Wayne Dental Group, LLC located?
- Fort Wayne Dental Group, LLC's practice location on file with NPPES is 7202 Engle Rd, Fort Wayne, IN 46804-2222.
- What is Fort Wayne Dental Group, LLC's phone number?
- The practice phone number listed in the NPPES registry for Fort Wayne Dental Group, LLC is (260) 432-3459.
- Who is the authorized official for Fort Wayne Dental Group, LLC?
- The authorized official listed on Fort Wayne Dental Group, LLC's NPPES record is Brent Mutton, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fort Wayne Dental Group, LLC's NPI active?
- Yes — Fort Wayne Dental Group, LLC's NPI (1922167188) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.