Michiana Oral &Maxillofacial Surgery Llc in South Bend - Oral And Maxillofacial Surgery
Michiana Oral &Maxillofacial Surgery Llc - NPI 1093775272
Michiana Oral &Maxillofacial Surgery Llc is a Oral And Maxillofacial Surgery in South Bend, Indiana. Michiana Oral &Maxillofacial Surgery Llc practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Michiana Oral &Maxillofacial Surgery Llc is 1093775272. The last update date is 2012-04-18.
Michiana Oral &Maxillofacial Surgery Llc's current location address is 707 N Michigan St, South Bend, Indiana. You can contact this provider via phone number 5742890080 and fax number 5742876320. The mailing address for Michiana Oral &Maxillofacial Surgery Llc is 707 N Michigan St, South Bend, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Michiana Oral &Maxillofacial Surgery Llc |
|---|---|
| Address | 707 N Michigan St, South Bend, Indiana |
| Phone Number | 5742890080 |
| Fax Number | 5742876320 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Asdell J Bernard |
| Credentials | DDS |
| Telephone Number | 5742890080 |
NPI Number Detail
| NPI Number | 1093775272 |
|---|---|
| Provider Enumeration Date | 2006-03-23 |
| Last Updated Date | 2012-04-18 |
Provider Mailing Address Detail
| Address | 707 N Michigan St |
|---|---|
| City | South Bend |
| State | Indiana (IN) |
| Post Code | 466011070 |
| Phone Number | 5742890080 |
| Fax Number | 5742876320 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 12008287 |
|
Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100409820A | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Michiana Oral &Maxillofacial Surgery Llc by the Centers for Medicare & Medicaid Services?
The Michiana Oral &Maxillofacial Surgery Llc has been issued the NPI (National Provider Identifier) 1093775272 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Michiana Oral &Maxillofacial Surgery Llc is physically located?
The Michiana Oral &Maxillofacial Surgery Llc is situated at the following address: 707 N Michigan St, South Bend, IN 466011070.
What is the Michiana Oral &Maxillofacial Surgery Llc's area of specialization and corresponding taxonomy classification?
The Michiana Oral &Maxillofacial Surgery Llc's specialty field is Oral And Maxillofacial Surgery, and it falls under the taxonomy code 1223S0112X, which categorizes healthcare providers based on their specialties.
On what date did the Michiana Oral &Maxillofacial Surgery Llc receive its 1093775272 assignment from the Centers for Medicare & Medicaid Services?
The Michiana Oral &Maxillofacial Surgery Llc was assigned its 1093775272 by the Centers for Medicare & Medicaid Services on 2006-03-23.
When was the information pertaining to Michiana Oral &Maxillofacial Surgery Llc most recently updated or revised?
The details related to Michiana Oral &Maxillofacial Surgery Llc, including its address, specialty, and other relevant information, were last updated or revised on 2012-04-18.