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PAUL B. GLASS DDS PC
NPI 1881708683
Dentist - General Practice in South Bend, IN

Active since August 18, 2006
2004 EDISON RD STE B, SOUTH BEND, IN 46617(574) 234-0900 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Paul B. Glass Dds Pc NPPES

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

PAUL B. GLASS DDS PC (NPI 1881708683) is a healthcare organization registered as a general practice in South Bend, Indiana and active in the NPI registry since August 2006. The organization lists Paul Bernard Glass, President/dentist, as its authorized official.

NPPES Registry Identity

NPI1881708683
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePAUL B. GLASS DDS PC
Location Address2004 EDISON RD STE BSouth Bend, IN 46617-1712
Mailing Address2004 Edison Rd Ste BSouth Bend, IN 46617-1712 · (574) 234-0900
Phone(574) 234-0900
Organization SubpartNo
Authorized OfficialPaul Bernard GlassPresident/dentist · (574) 234-0900
Enumeration DateAugust 18, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1881708683 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 · 12009864A
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.
2004 EDISON RD STE B, 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

Other Providers at the Same Location NPPES

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

DR. PAUL BERNARD GLASS D.D.S.
Dentist (General Practice)
2004 EDISON RD STE B
SOUTH BEND, IN 46617
St. Joseph County (574) 234-0900

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 Paul B. Glass Dds PC's NPI number?

The NPI number for Paul B. Glass Dds PC is 1881708683. It was assigned to this organization in the NPPES registry on August 18, 2006.

Where is Paul B. Glass Dds PC located?

Paul B. Glass Dds PC is located at 2004 Edison Rd Ste B, South Bend, IN 46617. The listed phone number is (574) 234-0900.

What is Paul B. Glass Dds PC'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 Paul B. Glass Dds PC was last updated on August 22, 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.