DR. ABISOLA JEGEDE DMD, MPH
NPI 1962029934
Dentist - Orthodontics and Dentofacial Orthopedics in South Bend, IN

Active since June 25, 2020
919 E JEFFERSON BLVD STE 100, SOUTH BEND, IN 46617(574) 245-7504 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Abisola Jegede Dmd, Mph NPPES

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

DR. ABISOLA JEGEDE DMD, MPH (NPI 1962029934) is an individual orthodontics and dentofacial orthopedics provider in South Bend, Indiana, licensed in Indiana (12014860A) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1962029934
Entity TypeIndividualFemale
Primary Taxonomy1223X0400X
Provider Legal NameDR. ABISOLA JEGEDECredential: DMD, MPH
Location Address919 E JEFFERSON BLVD STE 100South Bend, IN 46617-3112
Mailing Address3411 Nelson Rd Ste 100Lake Charles, LA 70605-1240
Sole ProprietorNo
Enumeration DateJune 25, 2020
Last NPPES UpdateAugust 20, 2025
NPPES CertifiedAugust 20, 2025
NPI 1962029934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in IN · 12014860A
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
Also ListedDentistTaxonomy 122300000X · License 7109 (LA)
919 E JEFFERSON BLVD STE 100, South Bend, IN 46617

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
919 E JEFFERSON BLVD STE 100
SOUTH BEND, IN 46617

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 Abisola Jegede's NPI number?

The NPI number for Abisola Jegede is 1962029934. It was assigned to this individual provider in the NPPES registry on June 25, 2020.

Where is Abisola Jegede located?

Abisola Jegede practices at 919 E Jefferson Blvd Ste 100, South Bend, IN 46617. The listed phone number is (574) 245-7504.

What is Abisola Jegede's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

What insurance does Abisola Jegede accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and BEST Life and 11 other insurers list Abisola Jegede 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 Abisola Jegede was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.