OrganizationActive
Bontrager Family Dentistry LLC
NPI 1366001679 · Dentist · Lagrange, IN
Bontrager Family Dentistry LLC is a Dentist organization in Lagrange, IN (NPI 1366001679).
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
Frequently asked questions
- What is Bontrager Family Dentistry LLC's NPI number?
- Bontrager Family Dentistry LLC's National Provider Identifier (NPI) is 1366001679, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bontrager Family Dentistry LLC?
- Bontrager Family Dentistry LLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Bontrager Family Dentistry LLC located?
- Bontrager Family Dentistry LLC's practice location on file with NPPES is 612 S Detroit St, Lagrange, IN 46761-2314.
- What is Bontrager Family Dentistry LLC's phone number?
- The practice phone number listed in the NPPES registry for Bontrager Family Dentistry LLC is (260) 463-2111.
- Who is the authorized official for Bontrager Family Dentistry LLC?
- The authorized official listed on Bontrager Family Dentistry LLC's NPPES record is Kalyssa Bontrager, Owner Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bontrager Family Dentistry LLC's NPI active?
- Yes — Bontrager Family Dentistry LLC's NPI (1366001679) is active in the NPPES registry as of the last update on 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.