MICHIANA FAMILY DENTAL LLC
NPI 1467946467
Dentist in South Bend, IN

Q: What is Michiana Family Dental LLC's NPI number?

The NPI number for Michiana Family Dental LLC is 1467946467. It was assigned to this organization in the NPPES registry on June 22, 2018.

Q: What is Michiana Family Dental LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since June 22, 2018

3575 PORTAGE AVE, SOUTH BEND, IN 46628(203) 215-4687 Get Directions Write a Review

NPPES record last updated: September 17, 2020. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Sep 17, 2020, Jun 22, 2018 (2 updates tracked since 2018).

On this page

About Michiana Family Dental Llc NPPES

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

MICHIANA FAMILY DENTAL LLC (NPI 1467946467) is a healthcare organization registered as a dentist in South Bend, Indiana and active in the NPI registry since June 2018. The organization lists Srinivas R Durshanapalli, Owner, as its authorized official.

NPPES Registry Identity

NPI1467946467

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameMICHIANA FAMILY DENTAL LLC

Location Address3575 PORTAGE AVESouth Bend, IN 46628-6092

Mailing Address3575 Portage AveSouth Bend, IN 46628-6092

Phone(203) 215-4687

Organization SubpartNo

Authorized OfficialSrinivas R DurshanapalliOwner · (203) 215-4687

Enumeration DateJune 22, 2018

Last NPPES UpdateSeptember 17, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 17, 2020

✔ NPI 1467946467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

3575 PORTAGE AVE, South Bend, IN 46628

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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.

BEACON MEDICAL GROUP, INC.

Family Medicine

3575 PORTAGE AVE
SOUTH BEND, IN 46628

St. Joseph County (574) 647-4530

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 Family Dental LLC's NPI number?

The NPI number for Michiana Family Dental LLC is 1467946467. It was assigned to this organization in the NPPES registry on June 22, 2018.

Where is Michiana Family Dental LLC located?

Michiana Family Dental LLC is located at 3575 Portage Ave, South Bend, IN 46628. The listed phone number is (203) 215-4687.

What is Michiana Family Dental LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Michiana Family Dental LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and DentaQuest USA Insurance list Michiana Family Dental LLC 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 Michiana Family Dental LLC was last updated on September 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.