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BITTERSWEET RD. FAMILY DENTIST
NPI 1942338231
Dentist - General Practice in Granger, IN

Active since March 01, 2007
51410 BITTERSWEET RD, GRANGER, IN 46530(574) 277-7995(574) 277-0184 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bittersweet Rd. Family Dentist NPPES

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

BITTERSWEET RD. FAMILY DENTIST (NPI 1942338231) is a healthcare organization registered as a general practice in Granger, Indiana and active in the NPI registry since March 2007. The organization lists Mark D. Shafer, Owner, as its authorized official.

NPPES Registry Identity

NPI1942338231
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBITTERSWEET RD. FAMILY DENTIST
Location Address51410 BITTERSWEET RDGranger, IN 46530-9119
Mailing Address51410 Bittersweet RdGranger, IN 46530-9119 · (574) 277-7995 · Fax (574) 277-0184
Phone(574) 277-7995
Fax(574) 277-0184
Organization SubpartNo
Authorized OfficialMark D. ShaferOwner · (574) 277-7995
Enumeration DateMarch 1, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1942338231 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 · 12009526
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.
51410 BITTERSWEET RD, Granger, IN 46530
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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 2

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

DR. MANUEL LOPEZ DDS
Dentist
51410 BITTERSWEET RD
GRANGER, IN 46530
St. Joseph County (574) 277-7995
DR. MARK D. SHAFER DDS
Dentist
51410 BITTERSWEET RD
GRANGER, IN 46530
St. Joseph County (574) 277-7995

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 Bittersweet Rd. Family Dentist's NPI number?

The NPI number for Bittersweet Rd. Family Dentist is 1942338231. It was assigned to this organization in the NPPES registry on March 1, 2007.

Where is Bittersweet Rd. Family Dentist located?

Bittersweet Rd. Family Dentist is located at 51410 Bittersweet Rd, Granger, IN 46530. The listed phone number is (574) 277-7995.

What is Bittersweet Rd. Family Dentist'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 Bittersweet Rd. Family Dentist was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.