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MIRACLE LANE FAMILY DENTISTRY P.C.
NPI 1093122418
Clinic/Center - Dental in Mishawaka, IN

Active since July 17, 2014
2332 MIRACLE LN, MISHAWAKA, IN 46545(574) 259-5437(574) 259-5438 Get Directions Write a Review

NPPES record last updated: July 17, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Miracle Lane Family Dentistry P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIRACLE LANE FAMILY DENTISTRY P.C. (NPI 1093122418) is a healthcare organization registered as a dental in Mishawaka, Indiana and active in the NPI registry since July 2014. The organization lists Bridget Lynn Merritt-brooks, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1093122418
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameMIRACLE LANE FAMILY DENTISTRY P.C.
Location Address2332 MIRACLE LNMishawaka, IN 46545-3012
Mailing Address2332 Miracle LnMishawaka, IN 46545-3012 · (574) 259-5437 · Fax (574) 259-5438
Phone(574) 259-5437
Fax(574) 259-5438
Organization SubpartNo
Authorized OfficialBridget Lynn Merritt-brooksDentist/owner · (313) 610-4688
Enumeration DateJuly 17, 2014
✔ NPI 1093122418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in IN · 54001789A
2332 MIRACLE LN, Mishawaka, IN 46545
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CLAUDETTE UMURERWA MUNYABERA DDS
Dentist (Pediatric Dentistry)
2332 MIRACLE LN
MISHAWAKA, IN 46545
St. Joseph County (574) 259-5437
REKHA RETHIYAMMA DMD
Dentist (General Practice)
2332 MIRACLE LN
MISHAWAKA, IN 46545
St. Joseph County (574) 259-5437
SOUTH BEND SMILES YOUTH DENTISTRY, LLC
Dentist (General Practice)
2332 MIRACLE LN
MISHAWAKA, IN 46545
St. Joseph County (574) 259-5437

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Miracle Lane Family Dentistry P.C.'s NPI number?

The NPI number for Miracle Lane Family Dentistry P.C. is 1093122418. It was assigned to this organization in the NPPES registry on July 17, 2014.

Where is Miracle Lane Family Dentistry P.C. located?

Miracle Lane Family Dentistry P.C. is located at 2332 Miracle Ln, Mishawaka, IN 46545. The listed phone number is (574) 259-5437.

What is Miracle Lane Family Dentistry P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Miracle Lane Family Dentistry P.C. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and DentaQuest USA Insurance list Miracle Lane Family Dentistry P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Miracle Lane Family Dentistry P.C. was last updated on July 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.