SOUTH BEND FAMILY DENTAL CARE
NPI 1891917282
Dentist - General Practice in South Bend, IN

Q: What is Lifetime Dental Careof Indiana, PC's NPI number?

The NPI number for Lifetime Dental Careof Indiana, PC is 1891917282. It was assigned to this organization in the NPPES registry on May 3, 2007. The provider is doing business as South Bend Family Dental Care.

Q: What is Lifetime Dental Careof Indiana, PC's specialty?

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

Active since May 03, 2007

1605 NORTH IRONWOOD, SOUTH BEND, IN 46635(574) 271-9693(574) 271-9719 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About South Bend Family Dental Care NPPES

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

SOUTH BEND FAMILY DENTAL CARE (NPI 1891917282) is a healthcare organization registered as a general practice in South Bend, Indiana and active in the NPI registry since May 2007. The organization lists Amy Kroeger, Ins Cood, as its authorized official.

NPPES Registry Identity

NPI1891917282

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameLIFETIME DENTAL CAREOF INDIANA, PC

Location Address1605 NORTH IRONWOODSouth Bend, IN 46635

Mailing Address1605 North IronwoodSouth Bend, IN 46635 · (574) 271-9693 · Fax (574) 271-9719

Phone(574) 271-9693

Fax(574) 271-9719

Organization SubpartNo

Authorized OfficialAmy KroegerIns Cood · (217) 540-5100

Enumeration DateMay 3, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1891917282 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.

1605 NORTH IRONWOOD, South Bend, IN 46635

Open in Google Maps ↗

Other Names 1

Doing Business AsSouth Bend Family Dental Care

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 Humana.Insurance ›

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 Lifetime Dental Careof Indiana, PC's NPI number?

The NPI number for Lifetime Dental Careof Indiana, PC is 1891917282. It was assigned to this organization in the NPPES registry on May 3, 2007. The provider is doing business as South Bend Family Dental Care.

Where is Lifetime Dental Careof Indiana, PC located?

Lifetime Dental Careof Indiana, PC is located at 1605 North Ironwood, South Bend, IN 46635. The listed phone number is (574) 271-9693.

What is Lifetime Dental Careof Indiana, PC's specialty?

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

What insurance does Lifetime Dental Careof Indiana, PC accept?

Health plans from Humana list Lifetime Dental Careof Indiana, PC 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 Lifetime Dental Careof Indiana, 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 6 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.