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GRANGER FAMILY DENTISTRY PC NPI 1619072147


NPI Information

NPI: 1619072147
Provider Name: GRANGER FAMILY DENTISTRY, PC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
12545 ADAMS RD
GRANGER, IN
ZIP 46530
Phone: (574) 277-5406
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GRANGER FAMILY DENTISTRY, PC is a general practice dentist in Granger, IN. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. GRANGER FAMILY DENTISTRY, PC NPI is 1619072147. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

12545 ADAMS RD
GRANGER, IN
ZIP 46530-226
Phone: (574) 277-5406
Fax: (574) 277-5467

The provider's authorized official is Thomas John Anglemire .
The authorized official title is Owner / President and has the following contact phone number (574) 277-5406.

The enumeration date for this NPI number is 9/13/2006 and was last updated on 9/14/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice12009209BINDIANANo
21223G0001XDentistGeneral Practice12007958BINDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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