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

South Bend Smiles Youth Dentistry, LLC

Organization General Practice Dentistry · NPI 1902017593

South Bend Smiles Youth Dentistry, LLC provides General Practice Dentistry in Mishawaka, Indiana. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2332 Miracle Ln
Mishawaka, IN 46545-3012 Not confirmed with CMS for 12 years — call before visiting
Phone: (574) 259-5437
Fax: (574) 259-5438
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1902017593
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jenell Stump — Manager, Licensing & Credentialing · (615) 750-0343
NPI enumeratedMay 24, 2007
Last updated in NPPESJuly 9, 2014
Mailing address16 Arcade Unit 198747, Nashville, TN 37219-1994

Other providers in Mishawaka