Select Dental Associates Pc is a Dental Clinic in South Bend, Indiana. It is located at 1422 Lincoln Way E, South Bend, IN and its contact number is 574-232-8888. The authorized person for Select Dental Associates Pc is Douglas J Kosek
who is Owner of the clinic and their contact number is 574-340-3423. Other organizations associated with this clinic are Select Dental Associates Pc, Select Dentistry, Pc, The primary license number for Select Dental Associates Pc is 12009873 (General Practice) in Indiana.
Select Dental Associates Pc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Select Dental Associates Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Select Dental Associates Pc |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 1422 Lincoln Way E, South Bend,
Indiana, 46613-3250 |
| Phone: | 574-232-8888 |
| Fax: | 574-232-8929 |
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: | Douglas J Kosek |
| Position: | Owner |
| Contact Number: | 574-340-3423 |
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 Select Dental Associates Pc clinic are as mentioned below.
| NPI Number: | 1457850687 |
| NPI Enumeration Date: | 02 Feb, 2018 |
| NPI Last Update On: | 02 Feb, 2018 |
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
| Name | Specialization | NPI Number |
| Select Dental Associates Pc | General Practice Dentistry | 1457850687 |
| Select Dentistry, Pc | General Practice Dentistry | 1811186323 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Select Dental Associates Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | 12009873 | 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 |
| 12010354A | Other | Indiana | State License |
| 12012866A | Other | Indiana | State License |
| 200214390 | 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: | Select Dental Associates Pc
1422 Lincoln Way E,
South Bend, Indiana |
| Zip: | 46613-3250 |
| Phone Number: | 574-232-8888 |
| Fax Number: | 574-232-8929 |
Patients can reach Select Dental Associates Pc at
1422 Lincoln Way E, South Bend, Indiana or can
call to book an appointment on 574-232-8888.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.