Jet Dental of Indiana, LLC
NPI #1235003385 in South Bend, Indiana
Provider Information
- NPI Number
- 1235003385
- Entity Type
- Organization
- Organization Name
- Jet Dental of Indiana, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- JET MANAGEMENT SERVICES, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 1, 2025
- Last Updated
- Oct 1, 2025
Practice Location
- Address
- 1005 E LASALLE AVE STE 1A
- City
- South Bend
- State
- Indiana
- ZIP Code
- 46617-2818
- Phone
- (801) 430-9262
Authorized Official
- Name
- BRIAN DANIELEWICZ
- Title
- OWNER
- Phone
- (847) 240-1477
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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