Organization
PERIODONTAL ASSOCIATES OF SOUTH BEND
Active
Other names
Periodontal Associates of South Bend
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA ROYER (PRACTICE MANAGER)
(765) 447-9319
Entity
Organization
Contact information
Practice address
1918 EDISON RD, SOUTH BEND, IN 46617-1711
(574) 287-8900
Mailing address
1918 EDISON RD, SOUTH BEND, IN 46617-1711
(574) 287-8900
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12013130A
DENTAL LICENSE
IN
Enumeration date
06/02/2021
Last updated
06/02/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us