Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Periodontal Associates of South Bend

Organization Periodontics · NPI 1962078642

Periodontal Associates of South Bend provides Periodontics in South Bend, Indiana. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

1918 Edison Rd
South Bend, IN 46617-1711
Phone: (574) 287-8900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X

Record details

NPI number1962078642
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gloria Royer — Practice Manager · (765) 447-9319
Other names Periodontal Associates Of South Bend
NPI enumeratedJune 2, 2021
Last updated in NPPESJune 2, 2021
Certification dateJune 2, 2021
Mailing address1918 Edison Rd, South Bend, IN 46617-1711

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