| Michael L. Freid | |
|
225 N Notre Dame Ave South Bend IN 46617-2839 | |
| (574) 232-4868 | |
| (574) 232-4869 |
| Full Name | Michael L. Freid |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 225 N Notre Dame Ave, South Bend, Indiana |
| Authorized Official Name and Position | Michael L Freid (PRESIDENT) |
| Authorized Official Contact | 5742324868 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael L. Freid 225 N Notre Dame Ave South Bend IN 46617-2839 Ph: (574) 232-4868 | Michael L. Freid 225 N Notre Dame Ave South Bend IN 46617-2839 Ph: (574) 232-4868 |
| NPI Number | 1588765077 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 06/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588765077 | NPI | - | NPPES |
| 100220550 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 12006859A (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 | |
Robertson Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 138 W Angela Blvd, South Bend, IN 46617 Phone: 317-874-6885 | |
Indiana Health Center @ South Bend Dental Clinic Medicare: Medicare Enrolled Practice Location: 1901 W Western Ave, Ste B, South Bend, IN 46619 Phone: 574-234-9033 Fax: 574-847-7200 | |
Ireland Park Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1902 E Ireland Rd, South Bend, IN 46614 Phone: 574-291-8022 Fax: 574-291-7868 | |
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 | |
Joseph W Cochran Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 915 S Ironwood Dr, South Bend, IN 46615 Phone: 574-288-5252 |