# JEFFREY S. MADER, DDS, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1841627783
- **Authorized official:** JEFFREY S MADER (OWNER)
- **Authorized official phone:** (574) 271-9000

## Contact information

- **Practice address:** 17490 STATE ROAD 23, SOUTH BEND, IN 46635-1743
- **Practice address phone:** (574) 271-9000
- **Mailing address:** 17490 STATE ROAD 23, SOUTH BEND, IN 46635-1743

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 10/10/2013
- **Last updated:** 10/10/2013