Robert Todd Mabry, DDS

Endodontics · Fort Wayne, IN

Individual Active NPI

NPI number 1407933427

Practice location

4636 W Jefferson Blvd
Fort Wayne, IN 46804-6826
Phone
(260) 436-9439
Fax
(260) 436-9467

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NPI record

NPI
1407933427
Entity type
Individual (Type 1)
Enumeration date
November 1, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Endodontics Primary 1223E0200X 8592 IN
Endodontics 1223E0200X 19654 OH

About Dr. Mabry

Robert Todd Mabry, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Endodontics (code 1223E0200X). The practice location is 4636 W Jefferson Blvd, Fort Wayne, IN 46804-6826. The NPI number 1407933427 was assigned on November 1, 2006 and the record was last updated on July 8, 2007.

Dr. Mabry lists 2 licenses in the registry: #8592 (IN) for Endodontics; #19654 (OH) for Endodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Robert Todd Mabry, DDS?

The NPI number is 1407933427.

What is the phone number of Dr. Mabry?

The phone number listed for the practice location is (260) 436-9439.

Where is Dr. Mabry located?

4636 W Jefferson Blvd, Fort Wayne, IN 46804-6826.

What is the taxonomy code for Dr. Mabry?

The primary taxonomy code is 1223E0200X – Endodontics; 1 more listed above.

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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