Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1538423645 Individual Practitioner Female Practitioner

Dr. Connie Suah Shim Middleton , DDS

Dentist • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Dr. Connie Middleton, DDS is a registered healthcare professional specializing in Dentist in Fort Wayne, IN. Practice services are available at 1234 E DUPONT RD STE 4 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1234 E Dupont Rd Ste 4

Fort Wayne, IN 468251545

Telephone 2604903495
Fax 2604970540
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

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IN 12011842A

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

5 Associated Practitioners
NPI 1225654882

Doctor of Dental Medicine

Dr. Tulsi Soni , DMD

Dentist - General Practice

NPI 1336060979

Doctor of Dental Medicine

NPI 1497865844

Doctor of Dental Surgery

Dr. Christine Lam , DMD

Dentist - General Practice

NPI 1720726904

Doctor of Dental Medicine

Dr. Benjamin Boswell , DDS

Dentist - General Practice

NPI 1770479636

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 03, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location July 03, 2012

Registered at 1234 E DUPONT RD STE 4, FORT WAYNE, IN 468251545 (Tel: 2604903495)

📍
Updated Business Mailing Address July 03, 2012

Registered at 1234 E DUPONT RD STE 4, FORT WAYNE, IN 468251545 (Tel: 2604903495)

👤
Provider Name / Credentials Updated July 03, 2012

Recorded as CONNIE MIDDLETON, D.D.S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 03, 2012

Dentist (License #12011842A in IN)

🟢
Initial NPI Registration & Enumeration July 03, 2012

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: 1538423645
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 03, 2012
Last Update: July 03, 2012
Sole Proprietor: No

Mailing Address

1234 E Dupont Rd Ste 4

Fort Wayne, IN 468251545

Phone: 2604903495

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.