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David Wood Douglas, DDS
General Practice Dentistry in South Bend, Indiana
NPI 1376575076

David Wood Douglas is a General Practice Dentistry based in South Bend, IN and is specialized in General Practice. David Wood Douglas practices in South Bend, IN and has the professional credentials of DDS. The NPI Number for David Wood Douglas is 1376575076 and holds a License No. 12007853 (Indiana).

The current practice location address for David Wood Douglas is 17455 Douglas Rd, South Bend, IN and can be reached out via phone at 574-243-5586 and via fax at 574-243-5587.

Location: 17455 Douglas Rd, South Bend, IN, 46635-1732
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376575076
Provider Name
David Wood Douglas
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
17455 Douglas Rd, South Bend, IN, 46635-1732
Phone Number
574-243-5586
Fax Number
574-243-5587
Provider Enumeration Date
07/06/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
17455 Douglas Rd
City
South Bend
State
Indiana
Zip
46635-1732
Phone Number
574-243-5586
Fax Number
574-243-5587
person
Provider Business Mailing Address Details
Address
17455 Douglas Rd
City
South Bend
State
Indiana
Zip
46635-1732
Phone Number
574-243-5586
Fax Number
574-243-5587
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
12007853 (Indiana)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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