OrganizationActive
Bontrager Family Dentistry LLC
NPI 1366001679 · Dentist · Lagrange, IN
Provider details
- NPI number
- 1366001679
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Kalyssa Bontrager, Owner Dentist(260) 580-5246
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
612 S Detroit St
Lagrange, IN 46761-2314
Phone: (260) 463-2111
Street-level locationGet directions
Mailing address
Po Box 183
Stroh, IN 46789-0183
Other names (DBA / former)
- Doing business as
- Firefly Dentistry
Registry dates
- Enumerated
- 2019-06-10
- Last updated
- 2019-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.