Periodontal Associates Of South Bend is a Periodontology Clinic in South Bend, Indiana. It is located at 1918 Edison Rd, South Bend, IN and its contact number is 574-287-8900. The authorized person for Periodontal Associates Of South Bend is Gloria Royer
who is Practice Manager of the clinic and their contact number is 765-447-9319.
Periodontal Associates Of South Bend Clinic is specialized in that branch of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Complete Clinic Profile:
Periodontal Associates Of South Bend Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Periodontal Associates Of South Bend |
| Specialization: | Periodontology |
| Clinic Address: | 1918 Edison Rd, South Bend,
Indiana, 46617-1711 |
| Phone: | 574-287-8900 |
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: | Gloria Royer |
| Position: | Practice Manager |
| Contact Number: | 765-447-9319 |
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 Periodontal Associates Of South Bend clinic are as mentioned below.
| NPI Number: | 1962078642 |
| NPI Enumeration Date: | 02 Jun, 2021 |
| NPI Last Update On: | 02 Jun, 2021 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Periodontal Associates Of South Bend are as mentioned below.
| Specialization | License Number | State | Status | |
| Periodontics | | | 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 |
| 12013130A | Other | Indiana | Dental License |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Periodontal Associates Of South Bend
1918 Edison Rd,
South Bend, Indiana |
| Zip: | 46617-1711 |
| Phone Number: | 574-287-8900 |
Patients can reach Periodontal Associates Of South Bend at
1918 Edison Rd, South Bend, Indiana or can
call to book an appointment on 574-287-8900.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.