ADONI DENTAL PC
NPI 1356586382
Dentist - General Practice in Mishawaka, IN

Active since December 04, 2008
4170 GRAPE RD, MISHAWAKA, IN 46545(574) 272-4200 Get Directions Write a Review

NPPES record last updated: December 4, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Adoni Dental Pc NPPES

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

ADONI DENTAL PC (NPI 1356586382) is a healthcare organization registered as a general practice in Mishawaka, Indiana and active in the NPI registry since December 2008. The organization lists Samuel Wakim, Owner, as its authorized official.

NPPES Registry Identity

NPI1356586382
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameADONI DENTAL PC
Location Address4170 GRAPE RDMishawaka, IN 46545-2610
Mailing AddressPo Box 3189Syracuse, NY 13220-3189 · (315) 454-6000
Organization SubpartNo
Authorized OfficialSamuel WakimOwner · (574) 272-4200
Enumeration DateDecember 4, 2008
NPI 1356586382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in IN · 12011100A
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.
4170 GRAPE RD, Mishawaka, IN 46545

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 MULTIPLE SINGLE SPECIALTY GROUP

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.

Dentist
4170 GRAPE RD
MISHAWAKA, IN 46545
Dentist
4170 GRAPE RD
MISHAWAKA, IN 46545
Dentist (General Practice)
4170 GRAPE RD
MISHAWAKA, IN 46545

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 Adoni Dental PC's NPI number?

The NPI number for Adoni Dental PC is 1356586382. It was assigned to this organization in the NPPES registry on December 4, 2008.

Where is Adoni Dental PC located?

Adoni Dental PC is located at 4170 Grape Rd, Mishawaka, IN 46545. The listed phone number is (574) 272-4200.

What is Adoni Dental PC'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 Adoni Dental PC was last updated on December 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.