Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1487775953 Individual Practitioner Male Practitioner

Dr. Thomas Alan Bunner , DDS

Dentist - General Practice • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Bunner, DDS is a registered healthcare professional specializing in Dentist - General Practice in Fort Wayne, IN. Practice services are available at 9417 SAINT JOE CENTER RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9417 Saint Joe Center Rd

Fort Wayne, IN 468359259

Telephone 2604804800
Associated Practice Facility / Clinic
🏢 Brooke Sellhorn Llc Facility NPI 1275040859

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

CMS Verified: 2020-09-04
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IN 12008775A

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

6 Associated Practitioners
Alicia Digiulio , MA, MSED, LMHC

Counselor - Mental Health

NPI 1003200775

Master of Arts, Master of Science in Education, Licensed Mental Health Counselor

Latoya Griffin , LMFTA

Marriage & Family Therapist

NPI 1083490387
Diana Ball , LCSW

Social Worker - Clinical

NPI 1083995773

Licensed Clinical Social Worker

Tarena Borden , MA

Counselor - Mental Health

NPI 1669039012

Master of Arts

Brooke Sellhorn , LMFT

Marriage & Family Therapist

NPI 1700221330

Licensed Marriage and Family Therapist

Elizabeth Pictor , LMHC

Counselor - Mental Health

NPI 1922515428

Licensed Mental Health Counselor

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location September 04, 2020

Registered at 9417 SAINT JOE CENTER RD, FORT WAYNE, IN 468359259 (Tel: 2604804800)

📍
Updated Business Mailing Address September 04, 2020

Registered at 9417 SAINT JOE CENTER RD, FORT WAYNE, IN 468359259 (Tel: 2604864800)

👤
Provider Name / Credentials Updated September 04, 2020

Recorded as THOMAS BUNNER, DDS

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 17512 STATE HIGHWAY 37, HARLAN, IN 46743 (Tel: 2606575197)

📍
Updated Business Mailing Address July 08, 2007

Registered at 17512 STATE HIGHWAY 37, HARLAN, IN 46743 (Tel: 2606575197)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as THOMSA BUNNER, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #12008775A in IN)

🟢
Initial NPI Registration & Enumeration April 03, 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: 1487775953
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 03, 2007
Last Update: September 04, 2020
Sole Proprietor: Yes

Mailing Address

9417 Saint Joe Center Rd

Fort Wayne, IN 468359259

Phone: 2604864800

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.