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Organization
NORTH POINT PEDIATRIC DENTISTRY
Active
Organization
NORTH POINT PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID F FISHBAUGH DDS, MS (OWNER)
(574) 273-8393
Entity
Organization
Contact information
Practice address
3434 E. DOUGLAS RD, SOUTH BEND, IN 46635-1776
(574) 273-8393
(574) 273-8818
Mailing address
3434 E. DOUGLAS RD, SOUTH BEND, IN 46635-1776
(574) 273-8393
(574) 273-8818
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
12009640
IN
261QD0000X
Dental Clinic/Center
12009640A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200349220A
—
IN
Enumeration date
02/11/2008
Last updated
04/25/2012
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