Miracle Lane Family Dentistry P.C.
NPI 1093122418 · Dental Clinic/Center · Mishawaka, IN
Miracle Lane Family Dentistry P.C. is a Dental Clinic/Center organization in Mishawaka, IN (NPI 1093122418).
Provider details
- NPI number
- 1093122418
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Bridget Merritt-Brooks, Dentist/Owner(313) 610-4688
- License
- 54001789A (IN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-07-17
- Last updated
- 2014-07-17
Frequently asked questions
- What is Miracle Lane Family Dentistry P.C.'s NPI number?
- Miracle Lane Family Dentistry P.C.'s National Provider Identifier (NPI) is 1093122418, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Miracle Lane Family Dentistry P.C.?
- Miracle Lane Family Dentistry P.C. is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Miracle Lane Family Dentistry P.C. located?
- Miracle Lane Family Dentistry P.C.'s practice location on file with NPPES is 2332 Miracle Ln, Mishawaka, IN 46545-3012.
- What is Miracle Lane Family Dentistry P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Miracle Lane Family Dentistry P.C. is (574) 259-5437.
- Who is the authorized official for Miracle Lane Family Dentistry P.C.?
- The authorized official listed on Miracle Lane Family Dentistry P.C.'s NPPES record is Bridget Merritt-Brooks, Dentist/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Miracle Lane Family Dentistry P.C.'s NPI active?
- Yes — Miracle Lane Family Dentistry P.C.'s NPI (1093122418) is active in the NPPES registry as of the last update on 2014-07-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.