# NORTH POINT PEDIATRIC DENTISTRY

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

## Provider details

- **NPI number:** 1538347745
- **Authorized official:** DR. DAVID F FISHBAUGH DDS, MS (OWNER)
- **Authorized official phone:** (574) 273-8393

## Contact information

- **Practice address:** 3434 E. DOUGLAS RD, SOUTH BEND, IN 46635-1776
- **Practice address phone:** (574) 273-8393
- **Practice address fax:** (574) 273-8818
- **Mailing address:** 3434 E. DOUGLAS RD, SOUTH BEND, IN 46635-1776
- **Mailing address phone:** (574) 273-8393
- **Mailing address fax:** (574) 273-8818

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 12009640 | IN | Yes |
| 261QD0000X | Dental Clinic/Center | 12009640A | IN | — |

## Other

- **Enumeration date:** 02/11/2008
- **Last updated:** 04/25/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200349220A | — | IN |