Benjamin Clinkenbeard, DDS

General Practice Dentistry · Fort Wayne, IN

Individual Active NPI

NPI number 1033210703

Practice location

3615 Lake Ave
Fort Wayne, IN 46805-5539
Phone
(260) 615-9177
Fax
(260) 615-9177

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NPI record

NPI
1033210703
Entity type
Individual (Type 1)
Enumeration date
September 26, 2006
Last updated
September 29, 2009
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 12010541A IN

About Dr. Clinkenbeard

Benjamin Clinkenbeard, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 3615 Lake Ave, Fort Wayne, IN 46805-5539. The NPI number 1033210703 was assigned on September 26, 2006 and the record was last updated on September 29, 2009.

Dr. Clinkenbeard lists a license in the registry: #12010541A (IN) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Benjamin Clinkenbeard, DDS?

The NPI number is 1033210703.

What is the phone number of Dr. Clinkenbeard?

The phone number listed for the practice location is (260) 615-9177.

Where is Dr. Clinkenbeard located?

3615 Lake Ave, Fort Wayne, IN 46805-5539.

What is the taxonomy code for Dr. Clinkenbeard?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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