Michael Tom, D.D.S
NPI 1477558138 · on the registry since 2005
Practice
- Address
- 1220 Medical Park Dr
Ste 1
Fort Wayne, IN 46825 - Phone
- (260) 482-9196
- Fax
- (260) 484-3371
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana