Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Harrison Dental Group IV LLC

Organization General Practice Dentistry · NPI 1801499702

Harrison Dental Group IV LLC provides General Practice Dentistry in Fort Wayne, Indiana. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2801 Maplecrest Rd
Fort Wayne, IN 46815-7015
Phone: (260) 747-4747
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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

Record details

NPI number1801499702
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Keith Harrison — Manager · (260) 747-4747
NPI enumeratedNovember 21, 2020
Last updated in NPPESNovember 21, 2020
Certification dateNovember 21, 2020
Mailing address6412 Winchester Rd, Fort Wayne, IN 46819-1550

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