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

The Dental Center of South Bend LLC

Organization Pediatric Dentistry · NPI 1538184460

The Dental Center of South Bend LLC is a Pediatric Dentistry 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.

See every abbreviation used in this directory →

Practice location Address checks out

1005 E Lasalle Ave
South Bend, IN 46617-2818
Phone: (574) 245-7501
Fax: (574) 245-7502
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 12015961 (IN)

Record details

NPI number1538184460
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Victoria Johnson — Cro · (941) 444-0558
NPI enumeratedJuly 13, 2006
Last updated in NPPESJuly 22, 2026
Certification dateJuly 22, 2026
Mailing address1005 E Lasalle Ave, South Bend, IN 46617-2818

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