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Dr. Mark Willam Bantz, DDS
General Practice Dentistry in South Bend, Indiana
NPI 1699919183

Mark Willam Bantz is a General Practice Dentistry based in South Bend, IN and is specialized in General Practice. Mark Willam Bantz practices in South Bend, IN and has the professional credentials of DDS. The NPI Number for Mark Willam Bantz is 1699919183 and holds a License No. 7086 (Indiana).

The current practice location address for Mark Willam Bantz is 820 E Colfax Ave, South Bend, IN and can be reached out via phone at 574-234-4117 and via fax at 574-289-3631.

Location: 820 E Colfax Ave, South Bend, IN, 46617-2804
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699919183
Provider Name
Mark Willam Bantz
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
820 E Colfax Ave, South Bend, IN, 46617-2804
Phone Number
574-234-4117
Fax Number
574-289-3631
Provider Enumeration Date
04/28/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
820 E Colfax Ave
City
South Bend
State
Indiana
Zip
46617-2804
Phone Number
574-234-4117
Fax Number
574-289-3631
person
Provider Business Mailing Address Details
Address
820 E Colfax Ave
City
South Bend
State
Indiana
Zip
46617-2804
Phone Number
574-234-4117
Fax Number
574-289-3631
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
7086 (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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