Organization · Type 2 NPI

South Bend Smiles Youth Dentistry, LLC

General Practice Dentistry · Mishawaka, IN

NPI number 1902017593 Active

Practice location

2332 Miracle Ln
Mishawaka, IN 46545-3012

Fax (574) 259-5438

Mailing address

16 Arcade Unit 198747
Nashville, TN 37219-1994

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XNone listed

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.

3 other providers at this address

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About NPI 1902017593

South Bend Smiles Youth Dentistry, LLC's National Provider Identifier is 1902017593, issued on May 24, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Mishawaka, IN. The record was last updated on Jul 9, 2014.