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MICHIANA ORAL &MAXILLOFACIAL SURGERY LLC
NPI 1093775272
Dentist - Oral and Maxillofacial Surgery in South Bend, IN

Active since March 23, 2006
707 N MICHIGAN ST, SUITE 300, SOUTH BEND, IN 46601(574) 289-0080(574) 287-6320 Get Directions Write a Review

NPPES record last updated: April 18, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michiana Oral &maxillofacial Surgery Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHIANA ORAL &MAXILLOFACIAL SURGERY LLC (NPI 1093775272) is a healthcare organization registered as an oral and maxillofacial surgery in South Bend, Indiana and active in the NPI registry since March 2006. The organization lists Bernard J Asdell, Owner, as its authorized official.

NPPES Registry Identity

NPI1093775272
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameMICHIANA ORAL &MAXILLOFACIAL SURGERY LLC
Location Address707 N MICHIGAN ST, SUITE 300South Bend, IN 46601-1070
Mailing Address707 N Michigan St, Suite 300South Bend, IN 46601-1070 · (574) 289-0080 · Fax (574) 287-6320
Phone(574) 289-0080
Fax(574) 287-6320
Organization SubpartNo
Authorized OfficialBernard J AsdellOwner · (574) 289-0080
Enumeration DateMarch 23, 2006
Last NPPES UpdateApril 18, 2012
✔ NPI 1093775272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in IN · 12008287
Definition
An oral and maxillofacial surgery dentist specialized in 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.
707 N MICHIGAN ST, South Bend, IN 46601
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Other Identifiers 2

Medicaid100409820AIN
Medicare PIN210990IN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BETH ANN HAYDEN FNP
Nurse Practitioner (Psychiatric/Mental Health)
707 N MICHIGAN ST, STE 400
SOUTH BEND, IN 46601
St. Joseph County (574) 647-8470
DR. STEVE L GERBER M.D.
Ophthalmology
707 N MICHIGAN ST, STE 210
SOUTH BEND, IN 46601
St. Joseph County (574) 233-2114
JOHN J HASKIN JR. M.D.
Psychiatry & Neurology (Psychiatry)
707 N MICHIGAN ST, STE 400
SOUTH BEND, IN 46601
St. Joseph County (574) 647-8470
BEACON MEDICAL GROUP INC
Internal Medicine (Rheumatology)
707 N MICHIGAN ST, SUITE 102
SOUTH BEND, IN 46601
St. Joseph County (574) 647-4500
JAGADEESH REDDY M.D.
Psychiatry & Neurology (Psychiatry)
707 N MICHIGAN ST, STE 400
SOUTH BEND, IN 46601
St. Joseph County (574) 647-8470
ADVANCED CENTER FOR CARDIOTHORACIC SURGERY LLC
Clinic/Center (Medical Specialty)
707 N MICHIGAN ST, 503
SOUTH BEND, IN 46601
St. Joseph County (574) 647-6500
CARDIOTHORACIC SURGERY, P.C.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
707 N MICHIGAN ST, SUITE 501
SOUTH BEND, IN 46601
St. Joseph County (574) 237-0644
DUANE D FLAIG FNP, APRN-BC
Nurse Practitioner (Family)
707 N MICHIGAN ST, STE 400
SOUTH BEND, IN 46601
St. Joseph County (574) 647-8470

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michiana Oral &maxillofacial Surgery LLC's NPI number?

The NPI number for Michiana Oral &maxillofacial Surgery LLC is 1093775272. It was assigned to this organization in the NPPES registry on March 23, 2006.

Where is Michiana Oral &maxillofacial Surgery LLC located?

Michiana Oral &maxillofacial Surgery LLC is located at 707 N Michigan St Suite 300, South Bend, IN 46601. The listed phone number is (574) 289-0080.

What is Michiana Oral &maxillofacial Surgery LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Michiana Oral &maxillofacial Surgery LLC was last updated on April 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.