South Bend Smiles Youth Dentistry, Llc is a Dental Clinic in Mishawaka, Indiana. It is located at 2332 Miracle Ln, Mishawaka, IN and its contact number is 574-259-5437. The authorized person for South Bend Smiles Youth Dentistry, Llc is Mrs. Jenell Stump
who is Manager, Licensing & Credentialing of the clinic and their contact number is 615-750-0343. South Bend Smiles Youth Dentistry, Llc 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 Smiles Youth Dentistry, Llc 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 Smiles Youth Dentistry, Llc
Specialization:
General Practice Dentistry
Clinic Address:
2332 Miracle Ln, Mishawaka, Indiana, 46545-3012
Phone:
574-259-5437
Fax:
574-259-5438
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:
Mrs. Jenell Stump
Position:
Manager, Licensing & Credentialing
Contact Number:
615-750-0343
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 Smiles Youth Dentistry, Llc clinic are as mentioned below.
NPI Number:
1902017593
NPI Enumeration Date:
24 May, 2007
NPI Last Update On:
09 Jul, 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 Smiles Youth Dentistry, Llc are as mentioned below.
Specialization
License Number
State
Status
General Practice
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
200828710A
Medicaid
Indiana
1902017593
Medicaid
Michigan
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 Smiles Youth Dentistry, Llc 16 Arcade Unit 198747, Nashville, Tennessee
Zip:
37219-1994
Phone Number:
615-750-0343
Fax Number:
615-986-1705
Patients can reach South Bend Smiles Youth Dentistry, Llc at 2332 Miracle Ln, Mishawaka, Indiana or can call to book an appointment on 574-259-5437. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.