Robert Ketcham, D.D.S., M.S.D

NPI 1841317518 · on the registry since 2007

Practice

Address: 1120 E Dupont Rd
Fort Wayne, IN 46825
Phone: (260) 497-0497
Fax: (260) 489-4853
Organisation at this address: Orthodontic Specialty Services, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 1223P0700X
1223P0700X
Licence states on file: IN
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-05-27

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