# GENTLE CARE FAMILY DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467726851
- **Authorized official:** DANIEL MENSAH-BOATENG (DENTIST/PRESIDENT)
- **Authorized official phone:** (573) 529-6303

## Contact information

- **Practice address:** 812 LAWRENCE DR, FORT WAYNE, IN 46804-1192
- **Practice address phone:** (260) 387-5890
- **Mailing address:** 812 LAWRENCE DR, FORT WAYNE, IN 46804-1192
- **Mailing address phone:** (260) 387-5890

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12011454A | IN | Yes |

## Other

- **Enumeration date:** 03/02/2012
- **Last updated:** 01/31/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200988310 | — | IN |