Jefferson Dental Center, Inc.
NPI 1760762108 · Dental Clinic/Center · South Bend, IN
Jefferson Dental Center, Inc. is a Dental Clinic/Center organization in South Bend, IN (NPI 1760762108).
Provider details
- NPI number
- 1760762108
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mont Annis, Secretary(574) 233-7266
- License
- 12007912 A (IN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
Mailing address
Registry dates
- Enumerated
- 2011-08-17
- Last updated
- 2021-01-08
- Certified
- 2021-01-08
Frequently asked questions
- What is Jefferson Dental Center, Inc.'s NPI number?
- Jefferson Dental Center, Inc.'s National Provider Identifier (NPI) is 1760762108, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jefferson Dental Center, Inc.?
- Jefferson Dental Center, Inc. is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Jefferson Dental Center, Inc. located?
- Jefferson Dental Center, Inc.'s practice location on file with NPPES is 2628 E Jefferson Blvd, South Bend, IN 46615-2724.
- What is Jefferson Dental Center, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Jefferson Dental Center, Inc. is (574) 233-7266.
- Who is the authorized official for Jefferson Dental Center, Inc.?
- The authorized official listed on Jefferson Dental Center, Inc.'s NPPES record is Mont Annis, Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jefferson Dental Center, Inc.'s NPI active?
- Yes — Jefferson Dental Center, Inc.'s NPI (1760762108) is active in the NPPES registry as of the last update on 2021-01-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.