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South Bend Family Dentistry, P.c.
General Practice Dentistry in South Bend, Indiana
NPI 1841369535

South Bend Family Dentistry, P.c. is a General Practice Dentistry based in South Bend, IN and is specialized in General Practice. South Bend Family Dentistry, P.c. practices in South Bend, IN. The NPI Number for South Bend Family Dentistry, P.c. is 1841369535 and holds a License No. 12010453A (Indiana).

The current practice location address for South Bend Family Dentistry, P.c. is 1637 Portage Ave, South Bend, IN and can be reached out via phone at 574-233-8444 and via fax at 574-233-8366.

Location: 1637 Portage Ave, South Bend, IN, 46616-1743
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1841369535
Provider Name
South Bend Family Dentistry, P.c.
Credential
Provider Entity Type
Organization
Address
1637 Portage Ave, South Bend, IN, 46616-1743
Phone Number
574-233-8444
Fax Number
574-233-8366
Provider Enumeration Date
11/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200390950A 05 IN
institution
Provider Business Practice Location Address Details
Address
1637 Portage Ave
City
South Bend
State
Indiana
Zip
46616-1743
Phone Number
574-233-8444
Fax Number
574-233-8366
person
Provider Business Mailing Address Details
Address
1637 Portage Ave
City
South Bend
State
Indiana
Zip
46616-1743
Phone Number
574-233-8444
Fax Number
574-233-8366
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
12010453A (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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