University Park Family Dentistry, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

120092272 Issued in IN

Legal business name

UNIVERSITY PARK FAMILY DENTISTRY, LLC

Practice address

16597 State Road 23
South Bend, IN 46635-1461

Phone

(574) 272-4441

Fax

(574) 968-0689

NPI assigned

Jun 29, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jeffrey Allen Turner, DDSNPI 1538183702

Title

Owner

Phone

(574) 272-4441

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Allen Turner, DDS

  • General Practice Dentistry
  • South Bend, IN
  • NPI 1538183702
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435536000000",
    "number": "1508248360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16597 STATE ROAD 23",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466351461",
            "telephone_number": "574-272-4441",
            "fax_number": "574-968-0689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16597 STATE ROAD 23",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466351461",
            "telephone_number": "574-272-4441",
            "fax_number": "574-968-0689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY PARK FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-29",
        "last_updated": "2015-06-29",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-272-4441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "120092272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200261730",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Unique Homecare Service
• United Seating and Mobility LLC
• University Commons Pharmacy
• University Commons Pharmacy
• University Park Dental Associates
• Marie E Unruh, MD
• Urology Associates of South Bend, PC
• Urology Associates of South Bend, PC
• Uthman Cavallo, MD, LLC
• V. Thomas Mawhinney, PH.D., Inc.

• General Practice Dentistry in South Bend, IN
• Providers in South Bend, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.