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EDGEWOOD DENTAL, LLP
NPI 1124542139
Dentist - General Practice in Michigan City, IN

Active since August 01, 2017
3008 FRANKLIN ST, MICHIGAN CITY, IN 46360(219) 872-2110(219) 872-1082 Get Directions Write a Review

NPPES record last updated: August 1, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edgewood Dental, Llp NPPES

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

EDGEWOOD DENTAL, LLP (NPI 1124542139) is a healthcare organization registered as a general practice in Michigan City, Indiana and active in the NPI registry since August 2017. The organization lists Valerie Haughtington, Partner/dentist, as its authorized official.

NPPES Registry Identity

NPI1124542139
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameEDGEWOOD DENTAL, LLP
Location Address3008 FRANKLIN STMichigan City, IN 46360-4636
Mailing Address3008 Franklin StMichigan City, IN 46360 · (219) 872-2110
Phone(219) 872-2110
Fax(219) 872-1082
Organization SubpartNo
Authorized OfficialValerie HaughtingtonPartner/dentist · (219) 872-2110
Enumeration DateAugust 1, 2017
✔ NPI 1124542139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed · 12009354
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3008 FRANKLIN ST, Michigan City, IN 46360
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Other Identifiers 3

Other1245390236IN · Provider Npi
Medicaid100376490BIN
Other1053411645IN · Provider Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DR. CALEB HAVLIN DDS
Dentist
3008 FRANKLIN ST
MICHIGAN CITY, IN 46360
Laporte County (219) 898-4545
DR. ROBERT S ANGELO DDS
Dentist (General Practice)
3008 FRANKLIN ST
MICHIGAN CITY, IN 46360
Laporte County (219) 898-4545

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 Edgewood Dental, LLP's NPI number?

The NPI number for Edgewood Dental, LLP is 1124542139. It was assigned to this organization in the NPPES registry on August 1, 2017.

Where is Edgewood Dental, LLP located?

Edgewood Dental, LLP is located at 3008 Franklin St, Michigan City, IN 46360. The listed phone number is (219) 872-2110.

What is Edgewood Dental, LLP's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Edgewood Dental, LLP was last updated on August 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.