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Dr. Modupe Mary Ogunnusi Sofuye, DMD
General Practice Dentistry in South Bend, Indiana
NPI 1437644549

Modupe Mary Ogunnusi Sofuye is a General Practice Dentistry based in South Bend, IN and is specialized in General Practice. Modupe Mary Ogunnusi Sofuye practices in South Bend, IN and has the professional credentials of DMD. The NPI Number for Modupe Mary Ogunnusi Sofuye is 1437644549 and holds a License No. 12012973A (Indiana).

The current practice location address for Modupe Mary Ogunnusi Sofuye is 1290 E Ireland Rd, South Bend, IN and can be reached out via phone at 574-299-1400.

Location: 1290 E Ireland Rd, South Bend, IN, 46617-2047
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437644549
Provider Name
Modupe Mary Ogunnusi Sofuye
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
1290 E Ireland Rd, South Bend, IN, 46617-2047
Phone Number
574-299-1400
Fax Number
Provider Enumeration Date
06/30/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1290 E Ireland Rd
City
South Bend
State
Indiana
Zip
46614-3474
Phone Number
574-299-1400
Fax Number
person
Provider Business Mailing Address Details
Address
1290 E Ireland Rd
City
South Bend
State
Indiana
Zip
46614-3474
Phone Number
574-299-1400
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
12012973A (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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