NORTH POINT PEDIATRIC DENTISTRY NPI 1538347745

NPI Information

NPI: 1538347745
Provider Name: NORTH POINT PEDIATRIC DENTISTRY
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
3434 E. DOUGLAS RD
SOUTH BEND, IN
ZIP 46635
Phone: (574) 273-8393
Get Directions

NORTH POINT PEDIATRIC DENTISTRY is a dental clinic center in South Bend, IN. NORTH POINT PEDIATRIC DENTISTRY NPI is 1538347745. The provider is registered as an organization entity type.

The provider's business location address is:

3434 E. DOUGLAS RD
SOUTH BEND, IN
ZIP 46635-776
Phone: (574) 273-8393
Fax: (574) 273-8818

The provider's authorized official is David F Fishbaugh .
The authorized official title is Owner and has the following contact phone number (574) 273-8393.

The enumeration date for this NPI number is 2/11/2008 and was last updated on 4/25/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	12009640A	INDIANA	No
2	261QD0000X	Clinic/Center	Dental	12009640	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200349220A	MEDICAID	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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