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BITTERSWEET RD. FAMILY DENTIST NPI 1942338231


NPI Information

NPI: 1942338231
Provider Name: BITTERSWEET RD. FAMILY DENTIST
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
51410 BITTERSWEET RD
GRANGER, IN
ZIP 46530
Phone: (574) 277-7995
Get Directions

BITTERSWEET RD. FAMILY DENTIST 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. BITTERSWEET RD. FAMILY DENTIST NPI is 1942338231. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

51410 BITTERSWEET RD
GRANGER, IN
ZIP 46530-119
Phone: (574) 277-7995
Fax: (574) 277-0184

The provider's authorized official is Mark D. Shafer .
The authorized official title is Owner and has the following contact phone number (574) 277-7995.

The enumeration date for this NPI number is 3/1/2007 and was last updated on 8/22/2020.


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 Practice12009526INDIANAYes

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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