Jie Li is a Fort Wayne, Indiana based Dentist who is specialized in
Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Jie Li is
13006783A for Dentistry in Indiana. Her current practice location is
1717 S Calhoun St, Fort Wayne. Patients can reach her at
260-458-2641.
Jie Li is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Jie Li speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Jie Li |
| Specialization: | Dentist |
| Gender: | Female |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 1717 S Calhoun St, Fort Wayne,
Indiana, 46802-5257 |
| Phone: | 260-458-2641 |
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 are as mentioned below.
| NPI Number: | 1609457100 |
| NPI Enumeration Date: | 16 Apr, 2021 |
| NPI Last Update On: | 16 Apr, 2021 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jie Li are as mentioned below.
| License Number | Specialization | State | Status | |
| 13006783A | Dentistry | Indiana | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Jie Li such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 13006783A | Other | Indiana | LICENSE |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 6903 Vistamere Way,
Indianapolis, Indiana |
| Zip: | 46250-4156 |
| Phone Number: | 317-750-3981 |
Patients can reach Jie Li at
1717 S Calhoun St, Fort Wayne, Indiana or can
call to book an appointment on 260-458-2641.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.