| Michael D. Rader, D.d.s., Inc. | |
|
919 E Jefferson Blvd Suite 408 South Bend IN 46617-3112 | |
| (574) 233-0014 | |
| (574) 233-0018 |
| Full Name | Michael D. Rader, D.d.s., Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 919 E Jefferson Blvd, South Bend, Indiana |
| Authorized Official Name and Position | Patty J Robbins (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 5742330014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael D. Rader, D.d.s., Inc. 919 E Jefferson Blvd Suite 408 South Bend IN 46617-3112 Ph: (574) 233-0014 | Michael D. Rader, D.d.s., Inc. 919 E Jefferson Blvd Suite 408 South Bend IN 46617-3112 Ph: (574) 233-0014 |
| NPI Number | 1447421631 |
|---|---|
| Provider Enumeration Date | 03/17/2008 |
| Last Update Date | 03/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447421631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7726 (Indiana) | Primary |
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