South Bend Family Dentistry, P.c. is a Dental Clinic in South Bend, Indiana. It is located at 1637 Portage Ave, South Bend, IN and its contact number is 574-233-8444. The authorized person for South Bend Family Dentistry, P.c. is Dr. Trang Khanh Mai
who is President of the clinic and their contact number is 574-233-8444. The primary license number for South Bend Family Dentistry, P.c. is 12010453A (General Practice) in Indiana. South Bend Family Dentistry, P.c. 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:
South Bend Family Dentistry, P.c. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
South Bend Family Dentistry, P.c.
Specialization:
General Practice Dentistry
Clinic Address:
1637 Portage Ave, South Bend, Indiana, 46616-1743
Phone:
574-233-8444
Fax:
574-233-8366
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:
Dr. Trang Khanh Mai
Position:
President
Contact Number:
574-233-8444
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 South Bend Family Dentistry, P.c. clinic are as mentioned below.
NPI Number:
1841369535
NPI Enumeration Date:
07 Nov, 2006
NPI Last Update On:
27 May, 2014
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for South Bend Family Dentistry, P.c. are as mentioned below.
Specialization
License Number
State
Status
General Practice
12010453A
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
200390950A
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:
South Bend Family Dentistry, P.c. 1637 Portage Ave, South Bend, Indiana
Zip:
46616-1743
Phone Number:
574-233-8444
Fax Number:
574-233-8366
Patients can reach South Bend Family Dentistry, P.c. at 1637 Portage Ave, South Bend, Indiana or can call to book an appointment on 574-233-8444. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.