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

Radiant Dermatology Associates LLC

Organization Dermatology Physician · NPI 1720790330

Radiant Dermatology Associates LLC provides Dermatology Physician services in Fort Wayne, Indiana. Registered with an NPI since 2022.

In the registry since
2022
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

722 E Till Rd Ste 102
Fort Wayne, IN 46825-2066
Phone: (260) 487-4065
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1720790330
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dara Spearman — Owner · (260) 487-4065
NPI enumeratedDecember 15, 2022
Last updated in NPPESDecember 15, 2022
Certification dateDecember 15, 2022
Mailing address722 E Till Rd Ste 102, Fort Wayne, IN 46825-2066

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