NPI 1891551917 · live from the CMS NPI Registry
Lfd Orthodontics LLC
Dentist, Orthodontics and Dentofacial Orthopedics in Lagrange, IN. National Provider Identifier 1891551917, active.
NPI record
| NPI | 1891551917 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 612 S Detroit St, Lagrange, IN 46761 |
| Practice phone | 260-463-2111 |
| Enumerated | February 26, 2024 |
| Last updated | February 26, 2024 |
| Authorized official | Kalyssa Bontrager, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.