Organization · Type 2 NPI
Periodontal Associates of South Bend
Periodontics · South Bend, IN
NPI number
1962078642
Active
Practice location
1918 Edison Rd
South Bend, IN 46617-1711
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | None listed |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Another provider at this address
Other periodontics providers in South Bend
About NPI 1962078642
Periodontal Associates of South Bend's National Provider Identifier is 1962078642, issued on Jun 2, 2021. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in South Bend, IN. The record was last updated on Jun 2, 2021.