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Active NPI 1841317518 Individual Practitioner Male Practitioner

Dr. Robert Louis Ketcham , DDS, MSD

Dentist - Prosthodontics • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Dr. Robert Ketcham, DDS, MSD is a registered healthcare professional specializing in Dentist - Prosthodontics in Fort Wayne, IN. Practice services are available at 1120 E DUPONT RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1120 E Dupont Rd

Fort Wayne, IN 468251556

Telephone 2604970497
Fax 2604894853
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Prosthodontics in Fort Wayne, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.0 Yrs
State Avg: 35.3 Yrs
Regional Practice Density
3 Specialists

Practicing in Fort Wayne, IN (54 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 - Prosthodontics Primary Specialty

NUCC Taxonomy Code: 1223P0700X

State License IN 12006504A

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Eugene Dellinger , DDS, MSD

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1235282138

Doctor of Dental Surgery, MSD

Dr. Eric Dellinger , DDS, MSD

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1508970088

Doctor of Dental Surgery, MSD

Dr. Aron Dellinger , DDS, MSD

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1952415325

Doctor of Dental Surgery, MSD

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 27, 2008

NPI status registered as active in NPPES database

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Updated Practice Location May 27, 2008

Registered at 1120 E DUPONT RD, FORT WAYNE, IN 468251556 (Tel: 2604970497)

📍
Updated Business Mailing Address May 27, 2008

Registered at 1120 E DUPONT RD, FORT WAYNE, IN 468251556 (Tel: 2604970497)

👤
Provider Name / Credentials Updated May 27, 2008

Recorded as ROBERT KETCHAM, D.D.S., M.S.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 27, 2008

Dentist (License #12006504A in IN)

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Initial NPI Registration & Enumeration March 26, 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: 1841317518
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 26, 2007
Last Update: May 27, 2008
Sole Proprietor: No

Mailing Address

1120 E Dupont Rd

Fort Wayne, IN 468251556

Phone: 2604970497

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.