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

Michiana Oral &maxillofacial Surgery LLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1093775272

Michiana Oral &maxillofacial Surgery LLC is an Oral and Maxillofacial Surgery (Dentist) 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

707 N Michigan St Ste 300
South Bend, IN 46601-1070
Phone: (574) 289-0080
Fax: (574) 287-6320
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 12008287 (IN)

Record details

NPI number1093775272
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bernard Asdell — Owner · (574) 289-0080
NPI enumeratedMarch 23, 2006
Last updated in NPPESApril 18, 2012
Mailing address707 N Michigan St, Suite 300, South Bend, IN 46601-1070

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