Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

South Bend Childrens Dentistry PC

Organization Pediatric Dentistry · NPI 1366579005

South Bend Childrens Dentistry PC provides Pediatric Dentistry in South Bend, Indiana. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

103 S Eddy
South Bend, IN 46617 Not confirmed with CMS for 13 years — call before visiting
Phone: (574) 288-4400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1366579005
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Deanna O'Neil — President South Bend Childrens Dent · (574) 288-4400
NPI enumeratedFebruary 28, 2007
Last updated in NPPESJanuary 31, 2013
Mailing address103 S Eddy, South Bend, IN 46617

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