Individual provider · Type 1 NPI

Modupe Mary Ogunnusi Sofuye, DMD

General Practice Dentistry · South Bend, IN

NPI number 1437644549 Active

Practice location

1290 E Ireland Rd
South Bend, IN 46614-3474

Call (574) 299-1400 Map

Mailing address

823B Sorin St
South Bend, IN 46617-2047

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X12012973A (IN)

General Practice Dentistry: 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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About NPI 1437644549

Modupe Mary Ogunnusi Sofuye, DMD's National Provider Identifier is 1437644549, issued on Jun 30, 2018. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in South Bend, IN. The record was last updated on Jun 30, 2018.