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Fort Wayne Dental Group, LLC

General Practice Dentistry in Fort Wayne, IN · enumerated 2006 · authorized official Brent Mutton, Owner.

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

National Provider Identifier

1922167188

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Registry record

Entity type Organization (Type 2)
Legal business name Fort Wayne Dental Group, LLC
Practice address 7202 Engle Rd, Fort Wayne, IN, 46804
Phone (260) 432-3459
Fax (260) 436-4757
Enumeration date Dec 6, 2006
Last updated in NPPES Sep 11, 2025

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers · License 12008127 (IN) Secondary
1223G0001X General Practice Dentistry Dental Providers · License 12010298A (IN) Primary
1223P0221X Pediatric Dentistry Dental Providers · License 12009199 (IN) Secondary

Authorized official

Name Brent Mutton
Title Owner
Phone (260) 432-3459

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

Where is Fort Wayne Dental Group, LLC located?
The practice location on file with NPPES is in Fort Wayne, IN.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-09-11. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-11.