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South Bend Smiles Youth Dentistry, Llc
General Practice Dentistry in Mishawaka, Indiana
NPI 1902017593

South Bend Smiles Youth Dentistry, Llc is a General Practice Dentistry based in Nashville, IN and is specialized in General Practice. South Bend Smiles Youth Dentistry, Llc practices in Mishawaka, IN. The NPI Number for South Bend Smiles Youth Dentistry, Llc is 1902017593 and holds a License No. (Indiana).

The current practice location address for South Bend Smiles Youth Dentistry, Llc is 2332 Miracle Ln, Mishawaka, IN and can be reached out via phone at 574-259-5437 and via fax at 574-259-5438.

Location: 2332 Miracle Ln, Mishawaka, IN, 37219-1994
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902017593
Provider Name
South Bend Smiles Youth Dentistry, Llc
Credential
Provider Entity Type
Organization
Address
2332 Miracle Ln, Mishawaka, IN, 37219-1994
Phone Number
574-259-5437
Fax Number
574-259-5438
Provider Enumeration Date
05/24/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200828710A 05 IN
1902017593 05 MI
institution
Provider Business Practice Location Address Details
Address
2332 Miracle Ln
City
Mishawaka
State
Indiana
Zip
46545-3012
Phone Number
574-259-5437
Fax Number
574-259-5438
person
Provider Business Mailing Address Details
Address
2332 Miracle Ln
City
Mishawaka
State
Indiana
Zip
46545-3012
Phone Number
574-259-5437
Fax Number
574-259-5438
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
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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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