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 provides Dentist services 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

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