Individual
DR. DAVID FRANCIS FISHBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
3434 E. DOUGLAS RD., SOUTH BEND, IN 46635
(574) 273-8393
(574) 273-8818
Mailing address
3434 E. DOUGLAS RD, SOUTH BEND, IN 46635
(574) 273-8393
(574) 273-8818
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12009640A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200349220 A
—
IN
Enumeration date
05/12/2006
Last updated
02/13/2020
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