Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Dental Consults of Northeast Indiana, PC

Organization General Practice Dentistry · NPI 1568580470

Dental Consults of Northeast Indiana, PC provides General Practice Dentistry in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2007.

Licensed in
IN
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11115 Lima Rd
Fort Wayne, IN 46818-9536 Not confirmed with CMS for 18 years — call before visiting
Phone: (260) 489-6544
Fax: (260) 416-0544
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 12008792 (IN)

Record details

NPI number1568580470
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Haller — President · (260) 489-6544
NPI enumeratedMarch 27, 2007
Last updated in NPPESJune 18, 2008
Mailing address11115 Lima Rd, Fort Wayne, IN 46818-9536

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