OrganizationActive
Mishawaka Dental LLC
NPI 1730624529 · Dentist · Mishawaka, IN
Mishawaka Dental LLC is a Dentist organization in Mishawaka, IN (NPI 1730624529).
Provider details
- NPI number
- 1730624529
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Heather Kraushaar, Psr(315) 454-6000
- License
- 12012619A (IN)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
4170 Grape Rd
Mishawaka, IN 46545-2610
Phone: (574) 272-4200
Street-level locationGet directions
Mailing address
Po Box 3189
Syracuse, NY 13220-3189
Registry dates
- Enumerated
- 2017-01-03
- Last updated
- 2017-01-03
Frequently asked questions
- What is Mishawaka Dental LLC's NPI number?
- Mishawaka Dental LLC's National Provider Identifier (NPI) is 1730624529, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mishawaka Dental LLC?
- Mishawaka Dental LLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Mishawaka Dental LLC located?
- Mishawaka Dental LLC's practice location on file with NPPES is 4170 Grape Rd, Mishawaka, IN 46545-2610.
- What is Mishawaka Dental LLC's phone number?
- The practice phone number listed in the NPPES registry for Mishawaka Dental LLC is (574) 272-4200.
- Who is the authorized official for Mishawaka Dental LLC?
- The authorized official listed on Mishawaka Dental LLC's NPPES record is Heather Kraushaar, Psr. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mishawaka Dental LLC's NPI active?
- Yes — Mishawaka Dental LLC's NPI (1730624529) is active in the NPPES registry as of the last update on 2017-01-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.