UNIVERSITY PARK FAMILY DENTISTRY, LLC
NPI 1508248360
Dentist - General Practice in South Bend, IN

Active since June 29, 2015
16597 STATE ROAD 23, SOUTH BEND, IN 46635(574) 272-4441(574) 968-0689 Get Directions Write a Review

NPPES record last updated: June 29, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About University Park Family Dentistry, Llc NPPES

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

UNIVERSITY PARK FAMILY DENTISTRY, LLC (NPI 1508248360) is a healthcare organization registered as a general practice in South Bend, Indiana and active in the NPI registry since June 2015. The organization lists Jeffrey Allen Turner, Owner, as its authorized official.

NPPES Registry Identity

NPI1508248360
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameUNIVERSITY PARK FAMILY DENTISTRY, LLC
Location Address16597 STATE ROAD 23South Bend, IN 46635-1461
Mailing Address16597 State Road 23South Bend, IN 46635-1461 · (574) 272-4441 · Fax (574) 968-0689
Fax(574) 968-0689
Organization SubpartNo
Authorized OfficialJeffrey Allen TurnerOwner · (574) 272-4441
Enumeration DateJune 29, 2015
NPI 1508248360 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 · 120092272
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.

16597 STATE ROAD 23, South Bend, IN 46635

Other Identifiers 1

Medicaid200261730IN

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 2

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

Dentist (General Practice)
16597 STATE ROAD 23
SOUTH BEND, IN 46635
Clinic/Center (Dental)
16597 STATE ROAD 23
SOUTH BEND, IN 46635

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 University Park Family Dentistry, LLC's NPI number?

The NPI number for University Park Family Dentistry, LLC is 1508248360. It was assigned to this organization in the NPPES registry on June 29, 2015.

Where is University Park Family Dentistry, LLC located?

University Park Family Dentistry, LLC is located at 16597 State Road 23, South Bend, IN 46635. The listed phone number is (574) 272-4441.

What is University Park Family Dentistry, 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 University Park Family Dentistry, LLC was last updated on June 29, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.