# MICHAEL D. RADER, D.D.S., INC.

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

## Provider details

- **NPI number:** 1447421631
- **Authorized official:** MISS PATTY J ROBBINS (OFFICE ADMINISTRATOR)
- **Authorized official phone:** (574) 233-0014

## Contact information

- **Practice address:** 919 E JEFFERSON BLVD, SUITE 408, SOUTH BEND, IN 46617-3112
- **Practice address phone:** (574) 233-0014
- **Practice address fax:** (574) 233-0018
- **Mailing address:** 919 E JEFFERSON BLVD, SUITE 408, SOUTH BEND, IN 46617-3112
- **Mailing address phone:** (574) 233-0014
- **Mailing address fax:** (574) 233-0018

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7726 | IN | Yes |

## Other

- **Enumeration date:** 03/17/2008
- **Last updated:** 03/18/2008