North Point Pediatric Dentistry | |
3434 E. Douglas Rd South Bend IN 46635-1776 | |
(574) 273-8393 | |
(574) 273-8818 |
Full Name | North Point Pediatric Dentistry |
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Speciality | Clinic/center - Dental |
Location | 3434 E. Douglas Rd, South Bend, Indiana |
Authorized Official Name and Position | David F Fishbaugh (OWNER) |
Authorized Official Contact | 5742738393 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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North Point Pediatric Dentistry 3434 E. Douglas Rd South Bend IN 46635-1776 Ph: (574) 273-8393 | North Point Pediatric Dentistry 3434 E. Douglas Rd South Bend IN 46635-1776 Ph: (574) 273-8393 |
NPI Number | 1538347745 |
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Provider Enumeration Date | 02/11/2008 |
Last Update Date | 04/25/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538347745 | NPI | - | NPPES |
200349220A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 12009640A (Indiana) | Secondary |
261QD0000X | Clinic/center - Dental | 12009640 (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 | |
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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 | |
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