# NWI DENTAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Aspen Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982093704
- **Authorized official:** SEAN SCHAFER DDS (OWNER)
- **Authorized official phone:** (315) 454-6000

## Contact information

- **Practice address:** 2505 LAPORTE AVE, VALPARAISO, IN 46383-6994
- **Practice address phone:** (315) 454-6000
- **Mailing address:** PO BOX 3189, SYRACUSE, NY 13220-3189

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 01/16/2015
- **Last updated:** 01/16/2015