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

Periodontal Associates of South Bend

Organization Periodontics · NPI 1962078642

Periodontal Associates of South Bend is a Periodontics in South Bend, Indiana. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

1918 Edison Rd
South Bend, IN 46617-1711
Phone: (574) 287-8900
Show map & directions

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

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X

Record details

NPI number1962078642
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gloria Royer — Practice Manager · (765) 447-9319
Other names Periodontal Associates Of South Bend
NPI enumeratedJune 2, 2021
Last updated in NPPESJune 2, 2021
Certification dateJune 2, 2021
Mailing address1918 Edison Rd, South Bend, IN 46617-1711

Other providers in South Bend