Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1740397033 Individual Practitioner Male Practitioner

Dr. Robert Stephen Schreck , DDS

Dentist - General Practice • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Dr. Robert Schreck, 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 2604246031
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 12006530

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
Dr. Benjamin Clinkenbeard , DDS

Dentist - General Practice

NPI 1033210703

Doctor of Dental Surgery

NPI 1497765978

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 July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 3615 LAKE AVE, FORT WAYNE, IN 468055539 (Tel: 2604246031)

📍
Updated Business Mailing Address July 08, 2007

Registered at 3615 LAKE AVE, FORT WAYNE, IN 468055539 (Tel: 2604246031)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ROBERT SCHRECK, DDS

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

Dentist (License #12006530 in IN)

🟢
Initial NPI Registration & Enumeration August 24, 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: 1740397033
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 24, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

3615 Lake Ave

Fort Wayne, IN 468055539

Phone: 2604246031

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.