Oral Surgery Michiana | |
3367 Douglas Rd South Bend IN 46635-1779 | |
(574) 272-8823 | |
(574) 277-1837 |
Full Name | Oral Surgery Michiana |
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Speciality | Clinic/center - Oral And Maxillofacial Surgery |
Location | 3367 Douglas Rd, South Bend, Indiana |
Authorized Official Name and Position | Edward Charles Collins (OWNER) |
Authorized Official Contact | 5742728823 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Oral Surgery Michiana 3367 Douglas Rd South Bend IN 46635-1779 Ph: (574) 272-8823 | Oral Surgery Michiana 3367 Douglas Rd South Bend IN 46635-1779 Ph: (574) 272-8823 |
NPI Number | 1881887065 |
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Provider Enumeration Date | 08/22/2007 |
Last Update Date | 05/06/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881887065 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Secondary |
261QS0112X | Clinic/center - Oral And Maxillofacial Surgery | 12010802A (Indiana) | 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 | |
Robertson Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 138 W Angela Blvd, South Bend, IN 46617 Phone: 317-874-6885 | |
Indiana Health Center @ South Bend Dental Clinic Medicare: Medicare Enrolled Practice Location: 1901 W Western Ave, Ste B, South Bend, IN 46619 Phone: 574-234-9033 Fax: 574-847-7200 | |
Ireland Park Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1902 E Ireland Rd, South Bend, IN 46614 Phone: 574-291-8022 Fax: 574-291-7868 | |
Zent Family Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3410 Douglas Rd, South Bend, IN 46635 Phone: 574-234-4117 | |
John D Bond Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 915 S Ironwood, South Bend, IN 46615 Phone: 574-288-5252 Fax: 574-286-7270 | |
Joseph W Cochran Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 915 S Ironwood Dr, South Bend, IN 46615 Phone: 574-288-5252 |