Organization
PAUL MICHAEL MCLEOD DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL MICHAEL MCLEOD DDS (PRESIDENT)
(574) 233-7331
Entity
Organization
Contact information
Practice address
919 E JEFFERSON BLVD, SUITE LL02, SOUTH BEND, IN 46617-3112
(574) 233-7331
Mailing address
51427 MEGAN CT, GRANGER, IN 46530-7832
(574) 277-3532
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009809A
IN
Other
Enumeration date
04/11/2007
Last updated
08/22/2020
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