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SOUTH STREET FAMILY DENTAL
NPI 1780897009
Dentist - General Practice in Lafayette, IN

Active since May 07, 2007
103 NORTH FARABEE DRIVE, SUITE C, LAFAYETTE, IN 47905(765) 447-7200(765) 449-0976 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About South Street Family Dental NPPES

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

SOUTH STREET FAMILY DENTAL (NPI 1780897009) is a healthcare organization registered as a general practice in Lafayette, Indiana and active in the NPI registry since May 2007. The organization lists Amy Kroeger, Ins Cood, as its authorized official.

NPPES Registry Identity

NPI1780897009
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLIFETIME DENTAL CARE OF INDIANA
Location Address103 NORTH FARABEE DRIVE, SUITE CLafayette, IN 47905
Mailing Address103 North Farabee Drive, Suite CLafayette, IN 47905 · (765) 447-7200 · Fax (765) 449-0976
Phone(765) 447-7200
Fax(765) 449-0976
Organization SubpartNo
Authorized OfficialAmy KroegerIns Cood · (217) 540-5100
Enumeration DateMay 7, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1780897009 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.
103 NORTH FARABEE DRIVE, Lafayette, IN 47905
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Other Names 1

Doing Business AsSouth Street Family Dental

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

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

LIFETIME DENTAL CARE OF INDIANA, PC
Dentist (General Practice)
103 NORTH FARABEE DRIVE, SUITE B
LAFAYETTE, IN 47905
Tippecanoe County (765) 447-7052

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 Lifetime Dental Care Of Indiana's NPI number?

The NPI number for Lifetime Dental Care Of Indiana is 1780897009. It was assigned to this organization in the NPPES registry on May 7, 2007. The provider is doing business as South Street Family Dental.

Where is Lifetime Dental Care Of Indiana located?

Lifetime Dental Care Of Indiana is located at 103 North Farabee Drive Suite C, Lafayette, IN 47905. The listed phone number is (765) 447-7200.

What is Lifetime Dental Care Of Indiana'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 Lifetime Dental Care Of Indiana was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.