Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1265562235 Individual Practitioner Male Practitioner

Dr. Philip C Roach , DDS

Dentist - General Practice • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Dr. Philip Roach, DDS is a registered healthcare professional specializing in Dentist - General Practice in Fort Wayne, IN. Practice services are available at 2121 E DUPONT RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2121 E Dupont Rd
Suite B

Fort Wayne, IN 468251546

Telephone 2604891818
Fax 2604901705
Associated Practice Facility / Clinic

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 12008612A

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

3 Associated Practitioners
Dr. Allison Bergdoll , DDS, MS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1013234640

Doctor of Dental Surgery, Master of Science

NPI 1659891984

Doctor of Dental Medicine

NPI 1790787695

Doctor of Dental Medicine, Doctor of Dental Surgery, Master of Science

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location October 09, 2007

Registered at 2121 E DUPONT RD, SUITE B, FORT WAYNE, IN 468251546 (Tel: 2604891818)

📍
Updated Business Mailing Address October 09, 2007

Registered at 2121 E DUPONT RD, SUITE B, FORT WAYNE, IN 468251546 (Tel: 2604891818)

👤
Provider Name / Credentials Updated October 09, 2007

Recorded as PHILIP ROACH, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 09, 2007

Dentist (License #12008612A in IN)

🟢
Initial NPI Registration & Enumeration March 07, 2007

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: 1265562235
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 07, 2007
Last Update: October 09, 2007
Sole Proprietor: Yes

Mailing Address

2121 E Dupont Rd, Suite B

Fort Wayne, IN 468251546

Phone: 2604891818

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.