SOUTH BEND FAMILY DENTISTRY, P.C.
NPI 1841369535
Dentist - General Practice in South Bend, IN

Active since November 07, 2006
1637 PORTAGE AVE, SOUTH BEND, IN 46616(574) 233-8444(574) 233-8366 Get Directions Write a Review

NPPES record last updated: May 27, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About South Bend Family Dentistry, P.c. NPPES

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

SOUTH BEND FAMILY DENTISTRY, P.C. (NPI 1841369535) is a healthcare organization registered as a general practice in South Bend, Indiana and active in the NPI registry since November 2006. The organization lists Trang Khanh Mai, President, as its authorized official.

NPPES Registry Identity

NPI1841369535
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSOUTH BEND FAMILY DENTISTRY, P.C.
Location Address1637 PORTAGE AVESouth Bend, IN 46616-1743
Mailing Address1637 Portage AveSouth Bend, IN 46616-1743 · (574) 233-8444 · Fax (574) 233-8366
Fax(574) 233-8366
Organization SubpartNo
Authorized OfficialTrang Khanh MaiPresident · (574) 233-8444
Enumeration DateNovember 7, 2006
Last NPPES UpdateMay 27, 2014
NPI 1841369535 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 · 12010453A
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.
1637 PORTAGE AVE, South Bend, IN 46616

Other Identifiers 1

Medicaid200390950AIN

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 (General Practice)
1637 PORTAGE AVE
SOUTH BEND, IN 46616

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 South Bend Family Dentistry, P.C.'s NPI number?

The NPI number for South Bend Family Dentistry, P.C. is 1841369535. It was assigned to this organization in the NPPES registry on November 7, 2006.

Where is South Bend Family Dentistry, P.C. located?

South Bend Family Dentistry, P.C. is located at 1637 Portage Ave, South Bend, IN 46616. The listed phone number is (574) 233-8444.

What is South Bend Family Dentistry, P.C.'s specialty?

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

What insurance does South Bend Family Dentistry, P.C. accept?

Health plans from UnitedHealthcare list South Bend Family Dentistry, P.C. 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 South Bend Family Dentistry, P.C. was last updated on May 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.