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

South Bend Childrens Dentistry PC

Organization Pediatric Dentistry · NPI 1366579005

South Bend Childrens Dentistry PC is a Pediatric Dentistry in South Bend, Indiana. Registered with an NPI since 2007.

In the registry since
2007
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

103 S Eddy
South Bend, IN 46617
Phone: (574) 288-4400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1366579005
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Deanna O'Neil — President South Bend Childrens Dent · (574) 288-4400
NPI enumeratedFebruary 28, 2007
Last updated in NPPESJanuary 31, 2013
Mailing address103 S Eddy, South Bend, IN 46617

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