Whalio Doctors

NPI 1942399159

Ryan M. Diepenbrock, DDS

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Fort Wayne, IN

Practice location

Address
7845 Carnegie Blvd STE a, Fort Wayne, IN 46804-5792
Phone
(260) 423-2340
Mailing address
101 Bodin Cir, Fairfield, CA 94535-1809

Registered specialties (3)

Oral & Maxillofacial Surgery (D.M.D.) Primary
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 12012587A (IN)
Oral & Maxillofacial Surgery (D.M.D.)
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 63091 (CA)
Oral and Maxillofacial Surgery (Dentist)
Dental Providers Taxonomy 1223S0112X Licence 30-022164 (OH)

Registry record

NPI
1942399159
Entity type
Individual
Sex (as registered)
Male
NPI issued
12 Oct 2006
Record last updated
25 Nov 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.