OrganizationActive
South Bend Childrens Dentistry PC
NPI 1366579005 · Pediatric Dentistry · South Bend, IN
South Bend Childrens Dentistry PC is a Pediatric Dentistry organization in South Bend, IN (NPI 1366579005).
Provider details
- NPI number
- 1366579005
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Deanna O'Neil, President South Bend Childrens Dent(574) 288-4400
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
103 S Eddy
South Bend, IN 46617
Phone: (574) 288-4400
Street-level locationGet directions
Mailing address
103 S Eddy
South Bend, IN 46617
Registry dates
- Enumerated
- 2007-02-28
- Last updated
- 2013-01-31
Frequently asked questions
- What is South Bend Childrens Dentistry PC's NPI number?
- South Bend Childrens Dentistry PC's National Provider Identifier (NPI) is 1366579005, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Bend Childrens Dentistry PC?
- South Bend Childrens Dentistry PC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is South Bend Childrens Dentistry PC located?
- South Bend Childrens Dentistry PC's practice location on file with NPPES is 103 S Eddy, South Bend, IN 46617.
- What is South Bend Childrens Dentistry PC's phone number?
- The practice phone number listed in the NPPES registry for South Bend Childrens Dentistry PC is (574) 288-4400.
- Who is the authorized official for South Bend Childrens Dentistry PC?
- The authorized official listed on South Bend Childrens Dentistry PC's NPPES record is Deanna O'Neil, President South Bend Childrens Dent. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Bend Childrens Dentistry PC's NPI active?
- Yes — South Bend Childrens Dentistry PC's NPI (1366579005) is active in the NPPES registry as of the last update on 2013-01-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.