Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1457331332 Individual Practitioner Male Practitioner

Dr. Marvin Preston Eady , DDS

Dentist - General Practice • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Dr. Marvin Eady, DDS is a registered healthcare professional specializing in Dentist - General Practice in Fort Wayne, IN. Practice services are available at 4646 W JEFFERSON BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4646 W Jefferson Blvd
Suite 140

Fort Wayne, IN 468046842

Telephone 2604591415
Fax 2604591419
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 12009115A

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
Obafemi Akinsanya

Nurse Practitioner - Psychiatric/Mental Health

NPI 1467155879
Linda Keller

Durable Medical Equipment & Medical Supplies

NPI 1861673204

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 4646 W JEFFERSON BLVD, SUITE 140, FORT WAYNE, IN 468046842 (Tel: 2604591415)

📍
Updated Business Mailing Address July 09, 2007

Registered at 4646 W JEFFERSON BLVD, SUITE 140, FORT WAYNE, IN 468046842 (Tel: 2604591415)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as MARVIN EADY, DDS

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

Dentist (License #12009115A in IN)

🟢
Initial NPI Registration & Enumeration January 18, 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: 1457331332
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 18, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

4646 W Jefferson Blvd, Suite 140

Fort Wayne, IN 468046842

Phone: 2604591415

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.