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Aegis Dental Group Fort Wayne, LLC — NPI 1992506513, Fort Wayne, IN | NPI Central

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NPI 1992506513

OrganizationActive

Aegis Dental Group Fort Wayne, LLC

NPI 1992506513 · Dental Clinic/Center · Fort Wayne, IN

Provider details

NPI number: 1992506513
Entity type: Organization
Primary specialty: Dental Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Cynthia Neuenschwander, Chief Operating Officer(574) 875-7711

Specialties & taxonomies

Dental Clinic/CenterPrimary261QD0000X
Ambulatory Health Care Facilities

Practice location

4975 W Jefferson Blvd

Fort Wayne, IN 46804

Phone: (574) 875-7711

Approximate (ZIP-level) locationGet directions

More IN providers

Mailing address

4975 W Jefferson Blvd

Fort Wayne, IN 46804

Other names (DBA / former)

Doing business as: Aegis Dental Group Fort Wayne

Registry dates

Enumerated: 2025-03-20
Last updated: 2025-03-20
Certified: 2025-03-18

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.