# NORTHWOOD FAMILY DENTISTRY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003966102
- **Authorized official:** DR. JOE ALLEN BAUMGARTNER D.D.S. (PRESIDENT)
- **Authorized official phone:** (574) 773-7979

## Contact information

- **Practice address:** 1001 N MAIN ST, SUITE TWO, NAPPANEE, IN 46550-1016
- **Practice address phone:** (574) 773-7979
- **Practice address fax:** (574) 773-7292
- **Mailing address:** 1001 N MAIN ST, SUITE TWO, NAPPANEE, IN 46550-1016
- **Mailing address phone:** (574) 773-7979
- **Mailing address fax:** (574) 773-7292

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12007757B | IN | Yes |

## Other

- **Enumeration date:** 01/11/2007
- **Last updated:** 08/22/2020