R M & M R STETZEL DDS INC NPI 1356463327

NPI Information

NPI: 1356463327
Provider Name: R M & M R STETZEL DDS INC
Classification: Dentist - 1223G0001X
Specialization: General Practice
Entity Type: Organization
Doing Business As: STETZEL DENTAL GROUP
Address: 10010 DUPONT CIRCLE CT
FORT WAYNE, IN
ZIP 46825
Phone: (260) 490-9949

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NPI Details

R M & M R STETZEL DDS INC is a general practice dentist in Fort Wayne, IN. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. R M & M R STETZEL DDS INC NPI is 1356463327. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Stetzel Dental Group.

The provider's business location address is:

10010 DUPONT CIRCLE CT
FORT WAYNE, IN
ZIP 46825-626
Phone: (260) 490-9949
Fax: (260) 490-3199

The provider's authorized official is Mark R Stetzel .
The authorized official title is Owner,president and has the following contact phone number (260) 490-9949.

The enumeration date for this NPI number is 4/3/2007 and was last updated on 6/30/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========	OTHER	INDIANA	TIN TAX IDENTIFICATION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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