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

The Dental Center of South Bend LLC

Organization Pediatric Dentistry · NPI 1538184460

The Dental Center of South Bend LLC provides Pediatric 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?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1005 E Lasalle Ave
South Bend, IN 46617-2818
Phone: (574) 245-7501
Fax: (574) 245-7502
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 12015961 (IN)

Record details

NPI number1538184460
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Victoria Johnson — Cro · (941) 444-0558
NPI enumeratedJuly 13, 2006
Last updated in NPPESJuly 22, 2026
Certification dateJuly 22, 2026
Mailing address1005 E Lasalle Ave, South Bend, IN 46617-2818

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