Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013116706 Individual Practitioner Male Practitioner

Dr. Roger Paul Valliere , DDS

Dentist • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Dr. Roger Valliere, DDS is a registered healthcare professional specializing in Dentist in Fort Wayne, IN. Practice services are available at 1330 E STATE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1330 E State Blvd

Fort Wayne, IN 468054422

Telephone 2604845614
Associated Practice Facility / Clinic
🏢 Summit City Smiles Facility NPI 1083080386

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Fort Wayne, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 2.0 Yrs
State Avg: 7.1 Yrs
Regional Practice Density
103 Specialists

Practicing in Fort Wayne, IN (1682 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IN 12010249A

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

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

3 Associated Practitioners
NPI 1154657450

Doctor of Dental Surgery

NPI 1528598638

Doctor of Dental Surgery

NPI 1578728390

Doctor of Dental Surgery

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active June 29, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 29, 2017

Registered at 1330 E STATE BLVD, FORT WAYNE, IN 468054422 (Tel: 2604845614)

📍
Updated Business Mailing Address June 29, 2017

Registered at 1330 E STATE BLVD, FORT WAYNE, IN 468054422 (Tel: 2604845614)

👤
Provider Name / Credentials Updated June 29, 2017

Recorded as ROGER VALLIERE, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2017

Dentist (License #12010249A in IN)

NPI Profile Active July 13, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 13, 2007

Registered at 1330 E STATE BLVD, FORT WAYNE, IN 468054422 (Tel: 2604845614)

📍
Updated Business Mailing Address July 13, 2007

Registered at 1330 E STATE BLVD, FORT WAYNE, IN 468054422 (Tel: 2604845614)

👤
Provider Name / Credentials Updated July 13, 2007

Recorded as ROGER VALLIERE, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2007

Dentist (License #12010249A in IN)

🟢
Initial NPI Registration & Enumeration July 13, 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: 1013116706
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 13, 2007
Last Update: June 29, 2017
Sole Proprietor: Yes

Mailing Address

1330 E State Blvd

Fort Wayne, IN 468054422

Phone: 2604845614

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.