Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1033210703 Individual Practitioner Male Practitioner

Dr. Benjamin Clinkenbeard , DDS

Dentist - General Practice • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Dr. Benjamin Clinkenbeard, DDS is a registered healthcare professional specializing in Dentist - General Practice in Fort Wayne, IN. Practice services are available at 3615 LAKE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3615 Lake Ave

Fort Wayne, IN 468055539

Telephone 2606159177
Fax 2606159177
Associated Practice Facility / Clinic
🏢 Bowser Family Dentistry Llc Facility NPI 1669269577

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Fort Wayne, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 1.5 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
148 Specialists

Practicing in Fort Wayne, IN (2204 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IN 12010541A

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1497765978

Doctor of Dental Surgery

Dr. Robert Schreck , DDS

Dentist - General Practice

NPI 1740397033

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 29, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location September 29, 2009

Registered at 3615 LAKE AVE, FORT WAYNE, IN 468055539 (Tel: 2606159177)

📍
Updated Business Mailing Address September 29, 2009

Registered at 3615 LAKE AVE, FORT WAYNE, IN 468055539 (Tel: 2606159177)

👤
Provider Name / Credentials Updated September 29, 2009

Recorded as BENJAMIN CLINKENBEARD, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 29, 2009

Dentist (License #12010541A in IN)

🟢
Initial NPI Registration & Enumeration September 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1033210703
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 26, 2006
Last Update: September 29, 2009
Sole Proprietor: No

Mailing Address

3615 Lake Ave

Fort Wayne, IN 468055539

Phone: 2606159177

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.