IRELAND PARK DENTISTRY
NPI 1194265553
Dentist - General Practice in South Bend, IN

Active since March 06, 2017
1902 E IRELAND RD, SOUTH BEND, IN 46614(574) 291-8022(574) 291-7868 Get Directions Write a Review

NPPES record last updated: March 6, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ireland Park Dentistry NPPES

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

IRELAND PARK DENTISTRY (NPI 1194265553) is a healthcare organization registered as a general practice in South Bend, Indiana and active in the NPI registry since March 2017. The organization lists Avis L Barker, Partner, as its authorized official.

NPPES Registry Identity

NPI1194265553
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameIRELAND PARK DENTISTRY
Location Address1902 E IRELAND RDSouth Bend, IN 46614-2863
Mailing Address1902 E Ireland RdSouth Bend, IN 46614-2863 · (574) 291-8022 · Fax (574) 291-7868
Fax(574) 291-7868
Organization SubpartNo
Authorized OfficialAvis L BarkerPartner · (574) 291-8022
Enumeration DateMarch 6, 2017
NPI 1194265553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in IN · 12011066A
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1902 E IRELAND RD, South Bend, IN 46614

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

Accepted Insurance

Other Providers at the Same Location NPPES

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

Dentist
1902 E IRELAND RD
SOUTH BEND, IN 46614

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 Ireland Park Dentistry's NPI number?

The NPI number for Ireland Park Dentistry is 1194265553. It was assigned to this organization in the NPPES registry on March 6, 2017.

Where is Ireland Park Dentistry located?

Ireland Park Dentistry is located at 1902 E Ireland Rd, South Bend, IN 46614. The listed phone number is (574) 291-8022.

What is Ireland Park Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Ireland Park Dentistry accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Ireland Park Dentistry as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ireland Park Dentistry was last updated on March 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.