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Active NPI 1932402609 Individual Practitioner Female Practitioner

Dr. Doreen Y Agyeman , DMD

Dentist - General Practice • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Dr. Doreen Agyeman, DMD is a registered healthcare professional specializing in Dentist - General Practice in Fort Wayne, IN. Practice services are available at 1852 BLUFFTON RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1852 Bluffton Rd

Fort Wayne, IN 468091306

Telephone 2604791086
Associated Practice Facility / Clinic
🏢 Kool Smiles In Ft. Wayne, Pc Facility NPI 1679660278

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 12011564A

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. Kent Gross , DDS

Dentist - General Practice

NPI 1811083249

Doctor of Dental Surgery

Dr. Ajay Joshi , DDS

Dentist - General Practice

NPI 1952497166

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 December 17, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location December 17, 2010

Registered at 1852 BLUFFTON RD, FORT WAYNE, IN 468091306 (Tel: 2604791086)

📍
Updated Business Mailing Address December 17, 2010

Registered at 1090 NORTHCHASE PKWY SE, SUITE 290, MARIETTA, GA 300676405 (Tel: 6789045665)

👤
Provider Name / Credentials Updated December 17, 2010

Recorded as DOREEN AGYEMAN, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2010

Dentist (License #12011564A in IN)

🟢
Initial NPI Registration & Enumeration December 17, 2010

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: 1932402609
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 17, 2010
Last Update: December 17, 2010
Sole Proprietor: No

Mailing Address

1090 Northchase Pkwy Se, Suite 290

Marietta, GA 300676405

Phone: 6789045665

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.