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Indiana Pediatric Dental & Anesthesia LLC

Pediatric Dentistry in Fort Wayne, IN · enumerated 2021 · authorized official Lucian Boboia, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164016127

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Registry record

Entity type Organization (Type 2)
Legal business name Indiana Pediatric Dental & Anesthesia LLC
Practice address 3030 Lake Ave Ste 15, Fort Wayne, IN, 46805
Enumeration date Feb 21, 2021
Last updated in NPPES Feb 21, 2021

Taxonomy & classification

1223P0221X Pediatric Dentistry Dental Providers Primary

Authorized official

Name Lucian Boboia
Title Owner

Other identifiers

Identifier Type State Issuer
12010910A Other IN STATE OF INDIANA DENTISTRY BOARD

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Indiana Pediatric Dental & Anesthesia LLC?
Indiana Pediatric Dental & Anesthesia LLC is registered in NPPES as a Pediatric Dentistry (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-02-21.