RYAN DEAN ZIMMERMAN DMD NPI 1467773911

NPI Information

  • NPI: 1467773911
  • Provider Name: RYAN DEAN ZIMMERMAN, DMD
  • Classification: Dentist - 1223P0700X
  • Specialization: Prosthodontics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4205 HOBSON CT
    FORT WAYNE, IN
    ZIP 46815
  • Phone: (260) 486-8778

Map and Directions

Get Directions

NPI Details

Ryan Dean Zimmerman, DMD is a prosthodontics dentist in Fort Wayne, IN with 15 years of experience. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. Ryan Dean Zimmerman, DMD NPI is 1467773911. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF KENTUCKY COLLEGE OF DENTISTRY
Graduation Year:2010

The provider's business location address is:

4205 HOBSON CT
FORT WAYNE, IN
ZIP 46815-648
Phone: (260) 486-8778
Fax: (260) 486-7679

The NPI 1467773911 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 6/18/2010 and was last updated on 2/2/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0700XDentistProsthodontics12011459AINDIANAYes
2122300000XDentist12011459AINDIANANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI