| Dr Modupe Mary Ogunnusi Sofuye, DMD | |
|
1290 E Ireland Rd, South Bend, IN 46614-3474 | |
| (574) 299-1400 | |
| Not Available |
| Full Name | Dr Modupe Mary Ogunnusi Sofuye |
|---|---|
| Gender | Female |
| Speciality | Dentist - General Practice |
| Location | 1290 E Ireland Rd, South Bend, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437644549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12012973A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Modupe Mary Ogunnusi Sofuye, DMD 823b Sorin St, South Bend, IN 46617-2047 Ph: (786) 619-4170 | Dr Modupe Mary Ogunnusi Sofuye, DMD 1290 E Ireland Rd, South Bend, IN 46614-3474 Ph: (574) 299-1400 |
Dr. Richard Cohen, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1005 E Lasalle Ave, South Bend, IN 46617 Phone: 574-245-7501 Fax: 574-245-7502 | |
Dr. Eugene Michael Feltman, DDS., MSD Dentist Medicare: Medicare Enrolled Practice Location: 225 N Notre Dame Ave, Suite 2, South Bend, IN 46617 Phone: 574-232-5866 | |
Dr. Bradley Richard Swanson, DDS MSD Dentist Medicare: Medicare Enrolled Practice Location: 54505 26th Street, Unit E, South Bend, IN 46635 Phone: 574-807-9050 | |
Dr. Russell A Murphy, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1329 N Ironwood Drive, South Bend, IN 46615 Phone: 574-271-7500 Fax: 574-271-6052 | |
Tracy Lynn Bacon, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 906 E Washington St, South Bend, IN 46617 Phone: 574-282-1390 Fax: 574-282-1394 | |
Dr. Himabindu Gogeneni, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3575 Portage Ave Ste A, South Bend, IN 46628 Phone: 574-349-2073 | |
Dr. Robert S. Austgen, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1005 E Lasalle Ave, South Bend, IN 46617 Phone: 574-245-7501 Fax: 574-245-7502 |