GRANGER FAMILY DENTISTRY, PC NPI 1619072147

Dentist (General Practice) in Granger, IN

NPI 1619072147 Organization Dentist General Practice

About GRANGER FAMILY DENTISTRY, PC

Granger Family Dentistry, Pc is a provider established in Granger, Indiana specializing in dentist (general practice) . The NPI number of Granger Family Dentistry, Pc is 1619072147 and was assigned on September 2006. The practitioner's primary taxonomy code is 1223G0001X with license number 12007958B (IN). The provider is registered as an organization and their NPI record was last updated one year ago. Granger Family Dentistry, Pc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mr. Thomas John Anglemire D.d.s. (Owner / President)

A dentist like Granger Family Dentistry, Pc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

NPI

1619072147

Provider NameGRANGER FAMILY DENTISTRY, PC
Provider Location Address12545 ADAMS RD GRANGER, IN 46530
Provider Mailing Address12545 ADAMS RD GRANGER, IN 46530
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date09-13-2006
Last Update Date09-14-2020


Primary Taxonomy

Taxonomy Code1223G0001X
ClassificationDentist
TypeDental Providers
SpecializationGeneral Practice
License No.12007958B
License StateIN
Taxonomy DescriptionA 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.

Business Address

GRANGER FAMILY DENTISTRY, PC
12545 ADAMS RD
GRANGER, IN
ZIP 46530
Phone: (574) 277-5406
Fax: (574) 277-5467

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Mailing Address

GRANGER FAMILY DENTISTRY, PC
12545 ADAMS RD
GRANGER, IN
ZIP 46530
Phone: (574) 277-5406
Fax: (574) 277-5467



Authorized Official

Authorized Official NameMR. THOMAS JOHN ANGLEMIRE D.D.S.
Authorized Official TitleOWNER / PRESIDENT
Authorized Official Phone(574) 277-5406

Group Taxonomy


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

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
11223G0001XDental ProvidersDentistGeneral Practice12009209BINNo

Taxonomy Description: 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.

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1942330766DR. PATRICK TIMOTHY WILLIAMS D.D.S.
Individual
Dentist (General Practice)12545 ADAMS RD
GRANGER, IN 46530
(574) 277-5406
1891825626DR. THOMAS JOHN ANGLEMIRE D.D.S.
Individual
Dentist (General Practice)12545 ADAMS RD
GRANGER, IN 46530
(574) 277-5406

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.