Individual
DR. DAVID M. FOLLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1422 LINCOLN WAY E, SOUTH BEND, IN 46613-3250
(574) 232-8888
(574) 232-8929
Mailing address
21061 QUIET RIDGE CT, SOUTH BEND, IN 46614-5181
(574) 514-8746
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12010354A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200214390
—
IN
Enumeration date
09/02/2005
Last updated
05/28/2014
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