NPI 1194691345 · live from the CMS NPI Registry
Luay Jabr
Dentist, Orthodontics and Dentofacial Orthopedics in Fort Wayne, IN. National Provider Identifier 1194691345, active.
NPI record
| NPI | 1194691345 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 5328 Coldwater Rd, Fort Wayne, IN 46825 |
| Practice phone | 260-471-5016 |
| Mailing address | 420 Westfall Rd Apt 20, Rochester, NY 14620 |
| Enumerated | October 15, 2025 |
| Last updated | October 15, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 12014892A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.