LAGRANGE FAMILY DENTISTRY LLC
NPI 1710757471
Dentist - General Practice in Lagrange, IN

Active since January 04, 2024
612 S DETROIT ST, LAGRANGE, IN 46761(260) 463-2111 Get Directions Write a Review

NPPES record last updated: January 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lagrange Family Dentistry Llc NPPES

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

LAGRANGE FAMILY DENTISTRY LLC (NPI 1710757471) is a healthcare organization registered as a general practice in Lagrange, Indiana and active in the NPI registry since January 2024. The organization lists Kalyssa Bontrager, Owner/ Doctor, as its authorized official.

NPPES Registry Identity

NPI1710757471
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLAGRANGE FAMILY DENTISTRY LLC
Location Address612 S DETROIT STLagrange, IN 46761-2314
Mailing Address612 S Detroit StLagrange, IN 46761-2314
Organization SubpartYesParent: Bontrager Family Dentistry Llc
Authorized OfficialKalyssa BontragerOwner/ Doctor · (260) 463-2111
Enumeration DateJanuary 4, 2024
NPPES CertifiedJanuary 4, 2024
NPI 1710757471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
612 S DETROIT ST, Lagrange, IN 46761

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

Dentist (General Practice)
612 S DETROIT ST
LAGRANGE, IN 46761
Dentist (General Practice)
612 S DETROIT ST
LAGRANGE, IN 46761
Dentist
612 S DETROIT ST
LAGRANGE, IN 46761
Dentist
612 S DETROIT ST
LAGRANGE, IN 46761
Dentist
612 S DETROIT ST
LAGRANGE, IN 46761
Dentist (Orthodontics and Dentofacial Orthopedics)
612 S DETROIT ST
LAGRANGE, IN 46761
Dentist (General Practice)
612 S DETROIT ST
LAGRANGE, IN 46761
Dentist (Orthodontics and Dentofacial Orthopedics)
612 S DETROIT ST
LAGRANGE, IN 46761

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 Lagrange Family Dentistry LLC's NPI number?

The NPI number for Lagrange Family Dentistry LLC is 1710757471. It was assigned to this organization in the NPPES registry on January 4, 2024.

Where is Lagrange Family Dentistry LLC located?

Lagrange Family Dentistry LLC is located at 612 S Detroit St, Lagrange, IN 46761. The listed phone number is (260) 463-2111.

What is Lagrange Family Dentistry LLC'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 Lagrange Family Dentistry LLC was last updated on January 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.