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

Select Dental Associates PC

Organization General Practice Dentistry · NPI 1457850687

Select Dental Associates PC is a General Practice Dentistry in South Bend, Indiana. Licensed in Indiana. Registered with an NPI since 2018.

Licensed in
IN
In the registry since
2018
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1422 Lincoln Way E
South Bend, IN 46613-3250
Phone: (574) 232-8888
Fax: (574) 232-8929
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 12009873 (IN)

Record details

NPI number1457850687
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Douglas Kosek — Owner · (574) 340-3423
NPI enumeratedFebruary 2, 2018
Last updated in NPPESFebruary 2, 2018
Mailing address1422 Lincoln Way E, South Bend, IN 46613-3250

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