| Brace Yourself Orthodontics Llc | |
|
16329 State Road 23 South Bend IN 46635-1457 | |
| (574) 243-8843 | |
| Not Available |
| Full Name | Brace Yourself Orthodontics Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 16329 State Road 23, South Bend, Indiana |
| Authorized Official Name and Position | Mike Cole (VP INSURANCE PLAN MANAGEMENT) |
| Authorized Official Contact | 9419553150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brace Yourself Orthodontics Llc 16329 State Road 23 South Bend IN 46635-1457 Ph: (574) 243-8843 | Brace Yourself Orthodontics Llc 16329 State Road 23 South Bend IN 46635-1457 Ph: (574) 243-8843 |
| NPI Number | 1992357453 |
|---|---|
| Provider Enumeration Date | 07/15/2019 |
| Last Update Date | 07/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992357453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
Michiana Oral &maxillofacial Surgery Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 707 N Michigan St, Suite 300, South Bend, IN 46601 Phone: 574-289-0080 Fax: 574-287-6320 | |
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