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David Douglas, D.D.S
NPI 1376575076 · on the registry since 2006 · sole proprietor
Practice
- Address
- 17455 Douglas Rd
Suite 1
South Bend, IN 46635 - Phone
- (574) 243-5586
- Fax
- (574) 243-5587
- Organisation at this address
- Family Dental Health Corporation
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana