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

Pediatric Dental Associates PC

Organization Pediatric Dentistry · NPI 1477678167

Pediatric Dental Associates PC provides Pediatric 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

7750 W Jefferson Blvd
Fort Wayne, IN 46804-4174
Phone: (260) 459-0903
Fax: (260) 459-0673
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 54001532A (IN)

Record details

NPI number1477678167
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Hobbs — President Owner · (260) 459-0903
NPI enumeratedMarch 20, 2007
Last updated in NPPESAugust 22, 2020
Mailing address7750 West Jefferson Blvd, Fort Wayne, IN 46804-4174

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