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JET DENTAL OF INDIANA, LLC
NPI 1235003385
Dentist - General Practice in South Bend, IN

Active since October 01, 2025
1005 E LASALLE AVE STE 1A, SOUTH BEND, IN 46617(801) 430-9262 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jet Dental Of Indiana, Llc NPPES

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

JET DENTAL OF INDIANA, LLC (NPI 1235003385) is a healthcare organization registered as a general practice in South Bend, Indiana and active in the NPI registry since October 2025. The organization lists Brian Danielewicz, Owner, as its authorized official.

NPPES Registry Identity

NPI1235003385
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameJET DENTAL OF INDIANA, LLC
Location Address1005 E LASALLE AVE STE 1ASouth Bend, IN 46617-2818
Mailing Address1005 E Lasalle Ave Ste 1aSouth Bend, IN 46617-2818 · (801) 430-9262
Phone(801) 430-9262
Organization SubpartYesParent: Jet Management Services, Llc
Authorized OfficialBrian DanielewiczOwner · (847) 240-1477
Enumeration DateOctober 1, 2025
NPPES CertifiedOctober 1, 2025
✔ NPI 1235003385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
1005 E LASALLE AVE STE 1A, South Bend, IN 46617
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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

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 Jet Dental Of Indiana, LLC's NPI number?

The NPI number for Jet Dental Of Indiana, LLC is 1235003385. It was assigned to this organization in the NPPES registry on October 1, 2025.

Where is Jet Dental Of Indiana, LLC located?

Jet Dental Of Indiana, LLC is located at 1005 E Lasalle Ave Ste 1A, South Bend, IN 46617. The listed phone number is (801) 430-9262.

What is Jet Dental Of Indiana, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Jet Dental Of Indiana, LLC was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.