Doctor profile · Federal record
Dr. Charles Middleton, DDS
Dentist · Fort Wayne, IN
- NPI 1093902264
- 19 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
4302 E State Blvd
Fort Wayne, IN 468156988
(260) 484-3136
fax (260) 484-3137
Credentials & registration
- NPI registered
- October 2007 — 19 yrs on file
- Profile last updated
- March 31, 2016
- Specialty taxonomy
- 122300000X — NUCC code
- State license (1)
- Indiana #12008119
- Medicaid
- IN #100079660A
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1093902264. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$171
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Keystone Dental Inc. | 2 | $170.56 |
By nature of payment
Frequently asked questions
What is Dr. Charles Middleton's medical specialty?
Dr. Charles Middleton practices Dentist in Fort Wayne, IN.
Where does Dr. Charles Middleton practice?
Dr. Charles Middleton practices at 4302 E State Blvd, Fort Wayne, IN 468156988. Office phone: 2604843136.
What is Dr. Charles Middleton's NPI?
Dr. Charles Middleton's National Provider Identifier (NPI) is 1093902264, issued by NPPES.