Active NPI
Smile Crafters Dental Studio P.C
- Dentist
- Portage, IN
National Provider Identifier
1104705672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- SMILE CRAFTERS DENTAL STUDIO P.C
- Practice address
- 2646 Lois St
Portage, IN 46368-3500 - Phone
- (219) 762-3010
- NPI assigned
- Aug 29, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Muath Daralsheikh, DMD
- Title
- Dentist
- Phone
- (708) 262-1845
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
2646 Lois St
Portage, IN 46368-3500
Mailing address
2646 Lois St
Portage, IN 46368-3500
Phone (219) 762-3010
National Provider Directory
National Provider DirectoryLocations
2646 Lois St
Portage, IN 46368
Phone (219) 762-3010
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Schererville, IN
- NPI 1508551904
-
- Dentist
- Portage, IN
- NPI 1104936962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756425600000",
"number": "1104705672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2646 LOIS ST",
"city": "PORTAGE",
"state": "IN",
"postal_code": "463683500",
"telephone_number": "219-762-3010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2646 LOIS ST",
"city": "PORTAGE",
"state": "IN",
"postal_code": "463683500",
"telephone_number": "219-762-3010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMILE CRAFTERS DENTAL STUDIO P.C",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-29",
"last_updated": "2025-08-29",
"certification_date": "2025-08-29",
"status": "A",
"authorized_official_last_name": "DARALSHEIKH",
"authorized_official_first_name": "MUATH",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "708-262-1845",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portage, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.