Michiana Oral &maxillofacial Surgery Llc
Oral and Maxillofacial Dental Clinic
707 N Michigan St, Suite 300, South Bend
Indiana, 46601-1070
574-289-0080 574-287-6320
Maps & DirectionsMichiana Oral &maxillofacial Surgery Llc is a Oral and Maxillofacial Dental Clinic in South Bend, Indiana. It is located at 707 N Michigan St, Suite 300, South Bend, IN and its contact number is 574-289-0080. The authorized person for Michiana Oral &maxillofacial Surgery Llc is Bernard J Asdell
who is Owner of the clinic and their contact number is 574-289-0080. The primary license number for Michiana Oral &maxillofacial Surgery Llc is 12008287 (Oral and Maxillofacial Surgery) in Indiana.
Michiana Oral &maxillofacial Surgery Llc Clinic deals with 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.
Complete Clinic Profile:
Michiana Oral &maxillofacial Surgery Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Michiana Oral &maxillofacial Surgery Llc |
| Specialization: | Oral and Maxillofacial Surgery |
| Clinic Address: | 707 N Michigan St, Suite 300, South Bend,
Indiana, 46601-1070 |
| Phone: | 574-289-0080 |
| Fax: | 574-287-6320 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Bernard J Asdell |
| Position: | Owner |
| Contact Number: | 574-289-0080 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Michiana Oral &maxillofacial Surgery Llc clinic are as mentioned below.
| NPI Number: | 1093775272 |
| NPI Enumeration Date: | 23 Mar, 2006 |
| NPI Last Update On: | 18 Apr, 2012 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Michiana Oral &maxillofacial Surgery Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Oral and Maxillofacial Surgery | 12008287 | Indiana | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 100409820A | Medicaid | Indiana | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Michiana Oral &maxillofacial Surgery Llc
707 N Michigan St, Suite 300
South Bend, Indiana |
| Zip: | 46601-1070 |
| Phone Number: | 574-289-0080 |
| Fax Number: | 574-287-6320 |
Patients can reach Michiana Oral &maxillofacial Surgery Llc at
707 N Michigan St, Suite 300, South Bend, Indiana or can
call to book an appointment on 574-289-0080.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.