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

Michiana Family Dental LLC

Organization Dentist · NPI 1467946467

Michiana Family Dental LLC is a Dentist in South Bend, Indiana. Registered with an NPI since 2018.

In the registry since
2018
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

3575 Portage Ave
South Bend, IN 46628-6092
Phone: (203) 215-4687
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1467946467
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Srinivas Durshanapalli — Owner · (203) 215-4687
NPI enumeratedJune 22, 2018
Last updated in NPPESSeptember 17, 2020
Certification dateSeptember 17, 2020
Mailing address3575 Portage Ave, South Bend, IN 46628-6092

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