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Northwest Pediatric Dental LLC

Pediatric Dentistry in St. John, IN · enumerated 2024 · authorized official James Mitsos, Owner.

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

National Provider Identifier

1982433819

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Registry record

Entity type Organization (Type 2)
Legal business name Northwest Pediatric Dental LLC
Other name <Unavail>
Practice address 8217 Wicker Ave, St. John, IN, 46373
Phone (219) 440-1710
Enumeration date Jul 30, 2024
Last updated in NPPES Oct 3, 2024

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers Secondary
1223P0221X Pediatric Dentistry Dental Providers Primary

Authorized official

Name James Mitsos
Title Owner
Phone (219) 440-1710

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

Who is the authorized official for Northwest Pediatric Dental LLC?
NPPES lists James Mitsos (Owner) as the authorized official for this organization.
What is the NPI number for Northwest Pediatric Dental LLC?
The NPI for Northwest Pediatric Dental LLC is 1982433819, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-10-03.