Healthcare Provider Details

I. General information

NPI: 1851305239
Provider Name (Legal Business Name): ANDREW STEVEN HOBBS DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7750 WEST JEFFERSON BLVD
FORT WAYNE IN
46804-4136
US

IV. Provider business mailing address

7750 WEST JEFFERSON BLVD
FORT WAYNE IN
46804-4136
US

V. Phone/Fax

Practice location:
  • Phone: 260-459-0903
  • Fax: 260-459-0673
Mailing address:
  • Phone: 260-459-0903
  • Fax: 260-459-0673

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number12010050A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number12010050A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: