Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1336993617 Individual Practitioner Male Practitioner

Justin Khoi Do

Dentist • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Justin Do is a registered healthcare professional specializing in Dentist in Fort Wayne, IN. Practice services are available at 1717 S CALHOUN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1717 S Calhoun St

Fort Wayne, IN 468025257

Telephone 2604582641
Associated Practice Facility / Clinic

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

CMS Verified: 2024-06-11
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IN 12014441A

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

40 Associated Practitioners
NPI 1003810656

Doctor of Medicine (M.D.)

NPI 1043766421

Doctor of Optometry

Zelalem Amare

Dentist - General Practice

NPI 1063116572
Ludmila Roebel , NURSE PRACTITIONER

Nurse Practitioner - Women's Health

NPI 1063522282

NURSEPRACTITIONER

NPI 1063664407

Doctor of Medicine (M.D.)

NPI 1104138320

Career & Practice History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2024

Dentist (License #12014441A in IN)

NPI Profile Active April 15, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location April 15, 2024

Registered at 1717 S CALHOUN ST, FORT WAYNE, IN 468025257 (Tel: 2604582641)

📍
Updated Business Mailing Address April 15, 2024

Registered at 30239 BEECHWOOD ST, GARDEN CITY, MI 481352385 (Tel: 7345786447)

👤
Provider Name / Credentials Updated April 15, 2024

Recorded as JUSTIN DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2024

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 15, 2024

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: 1336993617
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 15, 2024
Last Update: June 11, 2024
Sole Proprietor: Yes

Mailing Address

30239 Beechwood St

Garden City, MI 481352385

Phone: 7345786447

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.