IndividualActive
Abisola Jegede, DMD, MPH
NPI 1962029934 · Orthodontics and Dentofacial Orthopedics Dentistry · South Bend, IN
Provider details
- NPI number
- 1962029934
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DMD, MPH
- Sex
- Female
- Sole proprietor
- No
- License
- 7109 (LA)
Practice location
919 E Jefferson Blvd Ste 100
South Bend, IN 46617-3112
Phone: (574) 245-7504
Mailing address
3411 Nelson Rd Ste 100
Lake Charles, LA 70605-1240
Registry dates
- Enumerated
- 2020-06-25
- Last updated
- 2025-08-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.