Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RYAN DEAN ZIMMERMAN, DMD
Active Sole ProprietorRYAN DEAN ZIMMERMAN, DMD is a Pediatric Dentistry healthcare provider located in FORT WAYNE, Indiana. NPI 1467773911 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · FORT WAYNE, IN
Registration Details
- NPI Number
- 1467773911
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 18, 2010 (16.156519815647 yrs)
- Last Updated
- Feb 2, 2023
- Licenses
-
12011459A (IN)12011459A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4205 HOBSON CTFORT WAYNE, IN, 468158648Browse IN providers · Browse ZIP 46815
- Phone
- 2604868778
- Fax
- 2604867679
- Primary Specialty
-
Pediatric Dentistry
1223P0700X
- Additional Specialty
- Dentist
Other Pediatric Dentistry Providers in FORT WAYNE, IN
| Name | Credential | NPI |
|---|---|---|
| DR. GARY LYNN GOTSCH | D.D.S, M.S.D. | 1174627749 |
| DR. ROBERT LOUIS KETCHAM | D.D.S., M.S.D | 1841317518 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.