# IRELAND PARK DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194265553
- **Authorized official:** DR. AVIS L BARKER DMD (PARTNER)
- **Authorized official phone:** (574) 291-8022

## Contact information

- **Practice address:** 1902 E IRELAND RD, SOUTH BEND, IN 46614-2863
- **Practice address phone:** (574) 291-8022
- **Practice address fax:** (574) 291-7868
- **Mailing address:** 1902 E IRELAND RD, SOUTH BEND, IN 46614-2863
- **Mailing address phone:** (574) 291-8022
- **Mailing address fax:** (574) 291-7868

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12011066A | IN | Yes |

## Other

- **Enumeration date:** 03/06/2017
- **Last updated:** 03/06/2017