Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Miracle Lane Family Dentistry PC

Organization Dental Clinic/Center · NPI 1093122418

Miracle Lane Family Dentistry PC is a Dental Clinic/Center in Mishawaka, Indiana. Licensed in Indiana. Registered with an NPI since 2014.

Licensed in
IN
In the registry since
2014
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2332 Miracle Ln
Mishawaka, IN 46545-3012
Phone: (574) 259-5437
Fax: (574) 259-5438
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 54001789A (IN)

Record details

NPI number1093122418
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bridget Merritt-Brooks — Dentist/Owner · (313) 610-4688
NPI enumeratedJuly 17, 2014
Last updated in NPPESJuly 17, 2014
Mailing address2332 Miracle Ln, Mishawaka, IN 46545-3012

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