BITTERSWEET RD. FAMILY DENTIST NPI 1942338231

Dentist (General Practice) in Granger, IN

NPI 1942338231 Organization Dentist General Practice

About BITTERSWEET RD. FAMILY DENTIST

Bittersweet Rd. Family Dentist is a provider established in Granger, Indiana specializing in dentist (general practice) . The NPI number of Bittersweet Rd. Family Dentist is 1942338231 and was assigned on March 2007. The practitioner's primary taxonomy code is 1223G0001X with license number 12009526 (IN). The provider is registered as an organization and their NPI record was last updated one year ago. Bittersweet Rd. Family Dentist operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Mark D. Shafer Dds (Owner)

A dentist like Bittersweet Rd. Family Dentist 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

1942338231

Provider NameBITTERSWEET RD. FAMILY DENTIST
Provider Location Address51410 BITTERSWEET RD GRANGER, IN 46530
Provider Mailing Address51410 BITTERSWEET RD GRANGER, IN 46530
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date03-01-2007
Last Update Date08-22-2020


Primary Taxonomy

Taxonomy Code1223G0001X
ClassificationDentist
TypeDental Providers
SpecializationGeneral Practice
License No.12009526
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

BITTERSWEET RD. FAMILY DENTIST
51410 BITTERSWEET RD
GRANGER, IN
ZIP 46530
Phone: (574) 277-7995
Fax: (574) 277-0184

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Mailing Address

BITTERSWEET RD. FAMILY DENTIST
51410 BITTERSWEET RD
GRANGER, IN
ZIP 46530
Phone: (574) 277-7995
Fax: (574) 277-0184



Authorized Official

Authorized Official NameDR. MARK D. SHAFER DDS
Authorized Official TitleOWNER
Authorized Official Phone(574) 277-7995

Group Taxonomy


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

Other Providers at the same location


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

NPI Name / Type Taxonomy Address
1962530238DR. MARK D. SHAFER DDS
Individual
Dentist51410 BITTERSWEET RD
GRANGER, IN 46530
(574) 277-7995
1457489734DR. MANUEL LOPEZ DDS
Individual
Dentist51410 BITTERSWEET RD
GRANGER, IN 46530
(574) 277-7995

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.