| Risser Endodontics P.c. | |
|
225 N Notre Dame Ave Suite 2 South Bend IN 46617 | |
| (574) 232-5866 | |
| (574) 287-8891 |
| Full Name | Risser Endodontics P.c. |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 225 N Notre Dame Ave, South Bend, Indiana |
| Authorized Official Name and Position | Scott Elliot Risser (OWNER) |
| Authorized Official Contact | 5742325866 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Risser Endodontics P.c. 225 N Notre Dame Ave Suite 2 South Bend IN 46617 Ph: (574) 232-5866 | Risser Endodontics P.c. 225 N Notre Dame Ave Suite 2 South Bend IN 46617 Ph: (574) 232-5866 |
| NPI Number | 1497858864 |
|---|---|
| Provider Enumeration Date | 09/07/2006 |
| Last Update Date | 03/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497858864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 12010063A (Indiana) | Primary |
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Michiana Oral &maxillofacial Surgery Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 707 N Michigan St, Suite 300, South Bend, IN 46601 Phone: 574-289-0080 Fax: 574-287-6320 | |
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