DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISHAWAKA DENTAL LLC

Active Organization

MISHAWAKA DENTAL LLC is a Dentist organization located in MISHAWAKA, Indiana. NPI 1730624529 is currently active in the NPPES registry. Verify at CMS.

Dentist · MISHAWAKA, IN

Registration Details

NPI Number
1730624529
Provider Type
Organization
NPI Issued
Jan 3, 2017 (9.6041076084431 yrs)
Last Updated
Jan 3, 2017
License
12012619A (IN)

Practice Information

Address
4170 GRAPE RD
MISHAWAKA, IN, 465452610
Browse IN providers · Browse ZIP 46545
Phone
5742724200
Primary Specialty
Dentist
122300000X
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.