# RISSER ENDODONTICS P.C.

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

## Provider details

- **NPI number:** 1497858864
- **Authorized official:** SCOTT ELLIOT RISSER DDS MSD (OWNER)
- **Authorized official phone:** (574) 232-5866

## Contact information

- **Practice address:** 225 N NOTRE DAME AVE, SUITE 2, SOUTH BEND, IN 46617
- **Practice address phone:** (574) 232-5866
- **Practice address fax:** (574) 287-8891
- **Mailing address:** 225 N NOTRE DAME AVE, SUITE 2, SOUTH BEND, IN 46617
- **Mailing address phone:** (574) 232-5866
- **Mailing address fax:** (574) 287-8891

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 12010063A | IN | Yes |

## Other

- **Enumeration date:** 09/07/2006
- **Last updated:** 03/23/2009