# BRADFORD H KORN DDS, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1891883633
- **Authorized official:** DR. BRADFORD HENRY KORN DDS (PRESIDENT)
- **Authorized official phone:** (260) 432-3588

## Contact information

- **Practice address:** 4656 W JEFFERSON BLVD, SUITE 220, FORT WAYNE, IN 46804-6857
- **Practice address phone:** (260) 432-3588
- **Practice address fax:** (260) 459-0729
- **Mailing address:** 4656 W JEFFERSON BLVD, SUITE 220, FORT WAYNE, IN 46804-6857
- **Mailing address phone:** (260) 432-3588
- **Mailing address fax:** (260) 459-0729

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 12007256 | IN | Yes |

## Other

- **Enumeration date:** 10/10/2006
- **Last updated:** 08/22/2020