Individual provider · Type 1 NPI
Abisola Jegede, DMD, MPH
Orthodontics and Dentofacial Orthopedics Dentistry · South Bend, IN
Practice location
919 E Jefferson Blvd Ste 100
South Bend, IN 46617-3112
Mailing address
3411 Nelson Rd Ste 100
Lake Charles, LA 70605-1240
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 7109 (LA) |
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 12014860A (IN) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
Another provider at this address
Other orthodontics and dentofacial orthopedics dentistry providers in South Bend
About NPI 1962029934
Abisola Jegede, DMD, MPH's National Provider Identifier is 1962029934, issued on Jun 25, 2020. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in South Bend, IN. The record was last updated on Aug 20, 2025.