| Paul Michael Mcleod Dds, Inc. | |
|
919 E Jefferson Blvd Suite Ll02 South Bend IN 46617-3112 | |
| (574) 233-7331 | |
| Not Available |
| Full Name | Paul Michael Mcleod Dds, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 919 E Jefferson Blvd, South Bend, Indiana |
| Authorized Official Name and Position | Paul Michael Mcleod (PRESIDENT) |
| Authorized Official Contact | 5742337331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Michael Mcleod Dds, Inc. 51427 Megan Ct Granger IN 46530-7832 Ph: (574) 277-3532 | Paul Michael Mcleod Dds, Inc. 919 E Jefferson Blvd Suite Ll02 South Bend IN 46617-3112 Ph: (574) 233-7331 |
| NPI Number | 1790909000 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790909000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12009809A (Indiana) | Primary |
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