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

Mishawaka Dental LLC

Organization Dentist · NPI 1730624529

Mishawaka Dental LLC is a Dentist in Mishawaka, Indiana. Licensed in Indiana. Registered with an NPI since 2017.

Licensed in
IN
In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4170 Grape Rd
Mishawaka, IN 46545-2610
Phone: (574) 272-4200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 12012619A (IN)

Record details

NPI number1730624529
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Heather Kraushaar — Psr · (315) 454-6000
NPI enumeratedJanuary 3, 2017
Last updated in NPPESJanuary 3, 2017
Mailing addressPo Box 3189, Syracuse, NY 13220-3189

Other providers in Mishawaka