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Airway & Midface Development, LLC

Dental Clinic/Center in Granger, IN · enumerated 2023 · authorized official Nicole Rousculp, Director of Operations.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1720777840

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Registry record

Entity type Organization (Type 2)
Legal business name Airway & Midface Development, LLC
Practice address 7221 N Fir Rd, Granger, IN, 46530
Phone (574) 968-5166
Fax (877) 317-3186
Enumeration date May 4, 2023
Last updated in NPPES May 4, 2023

Taxonomy & classification

261QD0000X Dental Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Nicole Rousculp
Title Director of Operations
Phone (574) 968-5166

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Airway & Midface Development, LLC?
The NPI for Airway & Midface Development, LLC is 1720777840, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Airway & Midface Development, LLC?
NPPES lists Nicole Rousculp (Director of Operations) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-05-04.