MICHIANA ORAL &MAXILLOFACIAL SURGERY LLC is an oral and maxillofacial surgery dentist in South Bend, IN. The provider is the specialty of dentistry which includes 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. MICHIANA ORAL &MAXILLOFACIAL SURGERY LLC NPI is 1093775272. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
707 N MICHIGAN ST
SUITE 300
SOUTH BEND, IN
ZIP 46601-070
Phone: (574) 289-0080
Fax: (574) 287-6320
The provider's authorized official is Bernard J Asdell .
The authorized official title is Owner and has the following contact phone number (574) 289-0080.
The enumeration date for this NPI number is 3/23/2006 and was last updated on 4/18/2012.