Miracle Lane Family Dentistry P.C.
LBN: Miracle Lane Family Dentistry P.C.
Miracle Lane Family Dentistry P.C. is an health care organization with primary practice located at 2332 Miracle Ln , Mishawaka IN 46545-3012. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty.
Miracle Lane Family Dentistry P.C. can be contacted via phone (574) 259-5437, or through Merritt-Brooks, Bridget Lynn via phone (313) 610-4688.
Contact Information
Primary practice address
2332 Miracle Ln
Mishawaka IN 46545-3012
Phone: (574) 259-5437
Fax: (574) 259-5438
Website:
Authorized official contact:
Name: Merritt-Brooks, Bridget Lynn Doctor of Dental Surgery (DDS)
Phone: (313) 610-4688
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Dental | 261QD0000X | 54001789A | Indiana |
Profile Details
| NPI number | 1093122418 |
|---|---|
| LBN Legal business name | Miracle Lane Family Dentistry P.C. |
| DBA Doing business as | |
| Authorized official | Merritt-Brooks, Bridget Lynn Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 17th, 2014 |
| Last updated | Jul 17th, 2014 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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