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Select Dental Associates Pc
General Practice Dentistry in South Bend, Indiana
NPI 1457850687

Select Dental Associates Pc is a General Practice Dentistry based in South Bend, IN and is specialized in General Practice. Select Dental Associates Pc practices in South Bend, IN. The NPI Number for Select Dental Associates Pc is 1457850687 and holds a License No. 12009873 (Indiana).

The current practice location address for Select Dental Associates Pc is 1422 Lincoln Way E, South Bend, IN and can be reached out via phone at 574-232-8888 and via fax at 574-232-8929.

Location: 1422 Lincoln Way E, South Bend, IN, 46613-3250
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1457850687
Provider Name
Select Dental Associates Pc
Credential
Provider Entity Type
Organization
Address
1422 Lincoln Way E, South Bend, IN, 46613-3250
Phone Number
574-232-8888
Fax Number
574-232-8929
Provider Enumeration Date
02/02/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12010354A 01 IN STATE LICENSE
12012866A 01 IN STATE LICENSE
200214390 05 IN
institution
Provider Business Practice Location Address Details
Address
1422 Lincoln Way E
City
South Bend
State
Indiana
Zip
46613-3250
Phone Number
574-232-8888
Fax Number
574-232-8929
person
Provider Business Mailing Address Details
Address
1422 Lincoln Way E
City
South Bend
State
Indiana
Zip
46613-3250
Phone Number
574-232-8888
Fax Number
574-232-8929
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
12009873 (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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