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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1992228290

Maritza Andreina Michalak, DMD is a Student in an Organized Health Care Education/Training Program in South Bend, Indiana. Licensed in Florida and Indiana. Registered with an NPI since 2017.

Licensed in
FL, IN
In the registry since
2017
Specialties on file
3
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

3575 Portage Rd Ste A
South Bend, IN 46628-6092
Phone: (574) 349-2073
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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 12013318A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
General Practice Dentistry Taxonomy 1223G0001X · Licence 22927 (FL)

Record details

NPI number1992228290
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 19, 2017
Last updated in NPPESOctober 16, 2024
Certification dateOctober 16, 2024

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