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

Doctor Eady Family Dentistry, PC

Organization General Practice Dentistry · NPI 1548709900

Doctor Eady Family Dentistry, PC provides General Practice Dentistry in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2017.

Licensed in
IN
In the registry since
2017
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

4646 W Jefferson Blvd Ste 140
Fort Wayne, IN 46804-6842
Phone: (260) 459-1415
Fax: (260) 459-1419
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 12009115 (IN)

Record details

NPI number1548709900
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marvin Eady — President · (260) 459-1415
NPI enumeratedFebruary 17, 2017
Last updated in NPPESFebruary 17, 2017
Mailing address4646 W Jefferson Blvd, Suite 140, Fort Wayne, IN 46804-6842

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