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

Individual provider Dentist · NPI 1962029934

Dr. Abisola Jegede, DMD, MPH is a Dentist in South Bend, Indiana. Licensed in Indiana and Louisiana. Registered with an NPI since 2020.

Licensed in
IN, LA
In the registry since
2020
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.
MPH — Master of Public Health
A graduate degree in population health.

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Practice location Address checks out

919 E Jefferson Blvd Ste 100
South Bend, IN 46617-3112
Phone: (574) 245-7504
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 12014860A (IN)
Dentist Taxonomy 122300000X · Licence 7109 (LA)

Record details

NPI number1962029934
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD , MPH
Sole proprietorNo
NPI enumeratedJune 25, 2020
Last updated in NPPESAugust 20, 2025
Certification dateAugust 20, 2025

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