Doctor profile · Federal record
Dr. Jonathan Hale, DDS
General Practice Dentistry · General Practice Dentistry · Fort Wayne, IN
- NPI 1063895670
- 11 yrs on file
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
4116 E State Blvd
Fort Wayne, IN 468156977
(260) 482-3759
fax (260) 482-3750
Credentials & registration
- NPI registered
- June 2015 — 11 yrs on file
- Profile last updated
- May 19, 2025
- Specialty taxonomy
- 1223G0001X — NUCC code
- State licenses (2)
- Indiana #12012803A · Florida #DN 21405
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1063895670. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$50
Transactions
3
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Align Technology, Inc. | 1 | $20.14 | |
| Dentsply Sirona Inc | 1 | $17.03 | |
| GC America Inc. | 1 | $13.20 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
77
Patients
51
Total drug cost
$168
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 56 | 35 | $80 |
| Chlorhexidine Gluconate | Generic | 21 | 16 | $88 |
Frequently asked questions
What is Dr. Jonathan Hale's medical specialty?
Dr. Jonathan Hale practices General Practice Dentistry in Fort Wayne, IN.
Where does Dr. Jonathan Hale practice?
Dr. Jonathan Hale practices at 4116 E State Blvd, Fort Wayne, IN 468156977. Office phone: 2604823759.
What is Dr. Jonathan Hale's NPI?
Dr. Jonathan Hale's National Provider Identifier (NPI) is 1063895670, issued by NPPES.