Michiana 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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.