Active NPI
Garrett Family Dentistry LLC
Doing business as Garrett Family Dentistry
- General Practice Dentistry
- Garrett, IN
National Provider Identifier
1881246726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- GARRETT FAMILY DENTISTRY LLC
- Doing business as
- Garrett Family Dentistry
- Practice address
- 125 S Randolph St
Garrett, IN 46738-1467 - Phone
- (260) 357-3171
- Fax
- (260) 357-0907
- NPI assigned
- Jul 11, 2019
- Last updated
- Jul 11, 2019
- 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
- Maria Pedroza
- Title
- Office Manager
- Phone
- (260) 894-4044
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | NU | Primary |
Addresses
Primary practice location
125 S Randolph St
Garrett, IN 46738-1467
Mailing address
907 Lincolnway S
Ligonier, IN 46767-1707
Phone (260) 894-4044
Other names 1
- Garrett Family Dentistry
National Provider Directory
National Provider DirectoryLocations
125 S Randolph St
Garrett, IN 46738
Phone (260) 357-3171
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Ligonier, IN
- NPI 1275845422
-
- Dentist
- Garrett, IN
- NPI 1750694998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562803200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1562803200000",
"number": "1881246726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "907 LINCOLNWAY S",
"city": "LIGONIER",
"state": "IN",
"postal_code": "467671707",
"telephone_number": "260-894-4044",
"fax_number": "260-577-8117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 S RANDOLPH ST",
"city": "GARRETT",
"state": "IN",
"postal_code": "467381467",
"telephone_number": "260-357-3171",
"fax_number": "260-357-0907"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARRETT FAMILY DENTISTRY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-11",
"last_updated": "2019-07-11",
"status": "A",
"authorized_official_last_name": "PEDROZA",
"authorized_official_first_name": "MARIA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "260-894-4044"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Garrett Family Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Garrett, IN
- Jane Ellen Dannhausen, NURSE PRACTITIONER
- Audra Renae Deardorf, FNP-C
- Dekalb Memorial Hospital, Inc (Dekalb Health Medical Group-Garrett)
- Dekalb Memorial Pharmacare LLC (DeKalb Health PharmaCare Garrett)
- Element Care Group
- Garrett Pharmacare, LLC
- Garrett-Keyser-Butler Community School District
- Damon E Greven, NP-C
- Vicki L Haines, RDH
- Carmynn Louise Hatch, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.