BONTRAGER FAMILY DENTISTRY LLC
NPI 1366001679
Dentist in Lagrange, IN

Q: What is Bontrager Family Dentistry LLC's NPI number?

The NPI number for Bontrager Family Dentistry LLC is 1366001679. It was assigned to this organization in the NPPES registry on June 10, 2019. The provider is doing business as Firefly Dentistry.

Q: What is Bontrager Family Dentistry LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since June 10, 2019

612 S DETROIT ST, LAGRANGE, IN 46761(260) 463-2111 Get Directions Write a Review

NPPES record last updated: June 10, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Bontrager Family Dentistry Llc NPPES

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

BONTRAGER FAMILY DENTISTRY LLC (NPI 1366001679), doing business as Firefly Dentistry, is a healthcare organization registered as a dentist in Lagrange, Indiana and active in the NPI registry since June 2019. The organization lists Kalyssa Mae Bontrager, Owner Dentist, as its authorized official.

NPPES Registry Identity

NPI1366001679

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameBONTRAGER FAMILY DENTISTRY LLC

Location Address612 S DETROIT STLagrange, IN 46761-2314

Mailing AddressPo Box 183Stroh, IN 46789-0183 · (260) 580-5246

Phone(260) 463-2111

Organization SubpartNo

Authorized OfficialKalyssa Mae BontragerOwner Dentist · (260) 580-5246

Enumeration DateJune 10, 2019

✔ NPI 1366001679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

612 S DETROIT ST, Lagrange, IN 46761

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Other Names 1

Doing Business AsFirefly Dentistry

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 8

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

DR. CODY RICHARDSON DMD

Dentist (General Practice)