Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ROBERT LOUIS KETCHAM, D.D.S., M.S.D
ActiveDR. ROBERT LOUIS KETCHAM, D.D.S., M.S.D is a Pediatric Dentistry healthcare provider located in FORT WAYNE, Indiana. NPI 1841317518 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · FORT WAYNE, IN
Registration Details
- NPI Number
- 1841317518
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 26, 2007 (19.386868607227 yrs)
- Last Updated
- May 27, 2008
- License
-
12006504A (IN)
Practice Information
- Address
-
1120 E DUPONT RDFORT WAYNE, IN, 468251556Browse IN providers · Browse ZIP 46825
- Phone
- 2604970497
- Fax
- 2604894853
- Primary Specialty
-
Pediatric Dentistry
1223P0700X
Other Pediatric Dentistry Providers in FORT WAYNE, IN
| Name | Credential | NPI |
|---|---|---|
| DR. GARY LYNN GOTSCH | D.D.S, M.S.D. | 1174627749 |
| RYAN DEAN ZIMMERMAN | DMD | 1467773911 |
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.