| University Park Dental Associates | |
|
16597 State Road 23 South Bend IN 46635-1461 | |
| (574) 272-4441 | |
| Not Available |
| Full Name | University Park Dental Associates |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 16597 State Road 23, South Bend, Indiana |
| Authorized Official Name and Position | Opal Anderson (MANAGER) |
| Authorized Official Contact | 5742724441 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Park Dental Associates 16597 State Road 23 South Bend IN 46635-1461 Ph: () - | University Park Dental Associates 16597 State Road 23 South Bend IN 46635-1461 Ph: (574) 272-4441 |
| NPI Number | 1356113690 |
|---|---|
| Provider Enumeration Date | 10/30/2023 |
| Last Update Date | 10/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356113690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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