Indiana Pediatric Dental & Anesthesia Llc
Pediatric Dental Clinic
3030 Lake Ave Ste 15, Fort Wayne
Indiana, 46805-5428
512-902-9997 Maps & DirectionsIndiana Pediatric Dental & Anesthesia Llc is a Pediatric Dental Clinic in Fort Wayne, Indiana. It is located at 3030 Lake Ave Ste 15, Fort Wayne, IN and its contact number is 512-902-9997. The authorized person for Indiana Pediatric Dental & Anesthesia Llc is Lucian Dan Boboia
who is Owner of the clinic and their contact number is 512-902-9997.
Indiana Pediatric Dental & Anesthesia Llc Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Indiana Pediatric Dental & Anesthesia Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Indiana Pediatric Dental & Anesthesia Llc |
| Specialization: | Pediatric Dentistry |
| Clinic Address: | 3030 Lake Ave Ste 15, Fort Wayne,
Indiana, 46805-5428 |
| Phone: | 512-902-9997 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Lucian Dan Boboia |
| Position: | Owner |
| Contact Number: | 512-902-9997 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Indiana Pediatric Dental & Anesthesia Llc clinic are as mentioned below.
| NPI Number: | 1164016127 |
| NPI Enumeration Date: | 21 Feb, 2021 |
| NPI Last Update On: | 21 Feb, 2021 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Indiana Pediatric Dental & Anesthesia Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatric Dentistry | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 12010910A | Other | Indiana | State Of Indiana Dentistry Board |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Indiana Pediatric Dental & Anesthesia Llc
3030 Lake Ave Ste 15,
Fort Wayne, Indiana |
| Zip: | 46805-5428 |
| Phone Number: | 512-902-9997 |
Patients can reach Indiana Pediatric Dental & Anesthesia Llc at
3030 Lake Ave Ste 15, Fort Wayne, Indiana or can
call to book an appointment on 512-902-9997.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.