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

Dr. Michael John Buczolich Jr., DDS

Individual provider Dentist · NPI 1962510362

Dr. Michael John Buczolich Jr., DDS is a Dentist 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?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

3533 McKinley Ave
South Bend, IN 46615-3134
Phone: (574) 289-7155
Fax: (574) 289-9755
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 12009618 (IN)

Record details

NPI number1962510362
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedAugust 26, 2006
Last updated in NPPESJuly 8, 2007

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