# YODER/RAHRIG FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1538189063
- **Authorized official:** DR. KEITH E YODER DDS (DENTIST)
- **Authorized official phone:** (260) 447-1776

## Contact information

- **Practice address:** 333 E TILLMAN RD, FORT WAYNE, IN 46816-1017
- **Practice address phone:** (260) 447-1776
- **Practice address fax:** (260) 447-6530
- **Mailing address:** 333 E TILLMAN RD, FORT WAYNE, IN 46816-1017
- **Mailing address phone:** (260) 447-1776
- **Mailing address fax:** (260) 447-6530

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6051 | IN | Yes |

## Other

- **Enumeration date:** 07/20/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 851799 | UNITED CONCORDIA | IN |