| Op Orthodontics Of Indiana Pllc | |
|
3340 Douglas Rd South Bend IN 46635-1788 | |
| (574) 233-7444 | |
| Not Available |
| Full Name | Op Orthodontics Of Indiana Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 3340 Douglas Rd, South Bend, Indiana |
| Authorized Official Name and Position | Stacy Pope (PROJECT MANAGER) |
| Authorized Official Contact | 6162838867 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Op Orthodontics Of Indiana Pllc 5300 Patterson Ave Se Ste 110 Grand Rapids MI 49512-5663 Ph: (616) 737-9401 | Op Orthodontics Of Indiana Pllc 3340 Douglas Rd South Bend IN 46635-1788 Ph: (574) 233-7444 |
| NPI Number | 1497446033 |
|---|---|
| Provider Enumeration Date | 05/16/2023 |
| Last Update Date | 05/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497446033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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