Edison Lakes Oral Surgery, PC
Edison Lakes Oral Surgery, PC is an Oral and Maxillofacial Surgery (Dentist) in South Bend, Indiana. Licensed in Indiana. Registered with an NPI since 2007.
- Licensed in
- IN
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3367 Douglas RdSouth Bend, IN 46635-1779
Phone: (574) 272-8823
Fax: (574) 277-1837
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral and Maxillofacial Surgery Clinic/Center (primary) | Taxonomy 261QS0112X · Licence 12010802A (IN) |
|---|---|
| Oral and Maxillofacial Surgery (Dentist) | Taxonomy 1223S0112X |
Record details
| NPI number | 1881887065 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Edward Collins — Owner · (574) 272-8823 |
| Other names | Oral Surgery Michiana |
| NPI enumerated | August 22, 2007 |
| Last updated in NPPES | May 6, 2024 |
| Certification date | May 6, 2024 |
| Mailing address | 3367 Douglas Rd, South Bend, IN 46635-1779 |
Other providers in South Bend
-
Dr. Bernard Jay Asdell, DDS
707 N Michigan St Ste 300, South Bend, IN 46601-1070 · (574) 289-0080
-
Dr. Edward Charles Collins III, DDS
3367 Douglas Rd, South Bend, IN 46635-1779 · (574) 272-8823
-
Dr. Michael L Freid, DDS
225 N Notre Dame Ave Ste # 1, South Bend, IN 46617-2839 · (574) 232-4868
-
Lane Tremelling Haws, DMD, MD
3367 Douglas Rd, South Bend, IN 46635-1779 · (574) 272-8823
-
Dr. William Lawrence Hull III, DMD
3367 Douglas Rd, South Bend, IN 46635-1779 · (574) 272-8823
-
Michael L. Freid
225 N Notre Dame Ave, South Bend, IN 46617-2839 · (574) 232-4868