Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHIGAN CITY FAMILY DENTISTRY
Active OrganizationMICHIGAN CITY FAMILY DENTISTRY is a Periodontology organization located in PORTAGE, Indiana. NPI 1417150137 is currently active in the NPPES registry. Verify at CMS.
Periodontology · PORTAGE, IN
Registration Details
- NPI Number
- 1417150137
- Provider Type
- Organization
- NPI Issued
- Jun 8, 2007 (19.177348777909 yrs)
- Last Updated
- Sep 11, 2025
Practice Information
- Address
-
6044 LUTE RDPORTAGE, IN, 463685008Browse IN providers · Browse ZIP 46368
- Phone
- 2197644004
- Fax
- 2197644031
- Primary Specialty
-
Periodontology
1223P0300X
- Additional Specialty
- Periodontology
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.