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

South Bend Family Dentistry, PC

Organization General Practice Dentistry · NPI 1841369535

South Bend Family Dentistry, PC provides General Practice Dentistry in South Bend, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
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

1637 Portage Ave
South Bend, IN 46616-1743 Not confirmed with CMS for 12 years — call before visiting
Phone: (574) 233-8444
Fax: (574) 233-8366
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 12010453A (IN)

Record details

NPI number1841369535
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Trang Mai — President · (574) 233-8444
NPI enumeratedNovember 7, 2006
Last updated in NPPESMay 27, 2014
Mailing address1637 Portage Ave, South Bend, IN 46616-1743

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