Mishawaka Dental Llc is a Dental Clinic in Mishawaka, Indiana. It is located at 4170 Grape Rd, Mishawaka, IN and its contact number is 574-272-4200. The authorized person for Mishawaka Dental Llc is Heather Kraushaar
who is Psr of the clinic and their contact number is 315-454-6000. Other organizations associated with this clinic are Adoni Dental Pc, Mishawaka Dental Llc, The primary license number for Mishawaka Dental Llc is 12012619A (Dentist) in Indiana.
Mishawaka Dental Llc Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Mishawaka Dental Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Mishawaka Dental Llc |
| Specialization: | Dentistry |
| Clinic Address: | 4170 Grape Rd, Mishawaka,
Indiana, 46545-2610 |
| Phone: | 574-272-4200 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Heather Kraushaar |
| Position: | Psr |
| Contact Number: | 315-454-6000 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Mishawaka Dental Llc clinic are as mentioned below.
| NPI Number: | 1730624529 |
| NPI Enumeration Date: | 03 Jan, 2017 |
| NPI Last Update On: | 03 Jan, 2017 |
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
| Name | Specialization | NPI Number |
| Adoni Dental Pc | General Practice Dentistry | 1356586382 |
| Mishawaka Dental Llc | Dentistry | 1730624529 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mishawaka Dental Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Dentist | 12012619A | Indiana | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mishawaka Dental Llc
Po Box 3189,
Syracuse, New York |
| Zip: | 13220-3189 |
| Phone Number: | -- |
Patients can reach Mishawaka Dental Llc at
4170 Grape Rd, Mishawaka, Indiana or can
call to book an appointment on 574-272-4200.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.