| Mishawaka Dental Llc | |
|
4170 Grape Rd Mishawaka IN 46545-2610 | |
| (574) 272-4200 | |
| Not Available |
| Full Name | Mishawaka Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 4170 Grape Rd, Mishawaka, Indiana |
| Authorized Official Name and Position | Heather Kraushaar (PSR) |
| Authorized Official Contact | 3154546000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mishawaka Dental Llc Po Box 3189 Syracuse NY 13220-3189 Ph: () - | Mishawaka Dental Llc 4170 Grape Rd Mishawaka IN 46545-2610 Ph: (574) 272-4200 |
| NPI Number | 1730624529 |
|---|---|
| Provider Enumeration Date | 01/03/2017 |
| Last Update Date | 01/03/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730624529 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12012619A (Indiana) | Primary |
Koala Center For Sleep & Tmj Disorders - In3 Dental Clinic Medicare: Medicare Enrolled Practice Location: 230 E Day Rd Ste 150, Mishawaka, IN 46545 Phone: 574-800-5080 | |
Miracle Lane Family Dentistry P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2332 Miracle Ln, Mishawaka, IN 46545 Phone: 574-259-5437 Fax: 574-259-5438 | |
Lotus Dental Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6502 Grape Rd Ste 882, Mishawaka, IN 46545 Phone: 574-345-0345 Fax: 574-345-0344 | |
Jeffrey S. Feltzer, Dmd, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 518 Lincolnway W, Mishawaka, IN 46544 Phone: 574-255-5630 | |
Brennan Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 Park Pl, Mishawaka, IN 46545 Phone: 574-259-9956 | |
Brian D Eberhart Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3650 N Main St, Mishawaka, IN 46545 Phone: 574-258-4344 | |
James M. Burkart Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13432 Mckinley Hwy, Mishawaka, IN 46545 Phone: 574-255-0035 Fax: 574-255-7786 |