| Jeffrey S. Mader, Dds, Llc | |
|
17490 State Road 23 South Bend IN 46635-1743 | |
| (574) 271-9000 | |
| Not Available |
| Full Name | Jeffrey S. Mader, Dds, Llc |
|---|---|
| Speciality | Dentist |
| Location | 17490 State Road 23, South Bend, Indiana |
| Authorized Official Name and Position | Jeffrey S Mader (OWNER) |
| Authorized Official Contact | 5742719000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey S. Mader, Dds, Llc 17490 State Road 23 South Bend IN 46635-1743 Ph: () - | Jeffrey S. Mader, Dds, Llc 17490 State Road 23 South Bend IN 46635-1743 Ph: (574) 271-9000 |
| NPI Number | 1841627783 |
|---|---|
| Provider Enumeration Date | 10/10/2013 |
| Last Update Date | 10/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841627783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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