OrganizationActive
Periodontal Associates of South Bend
NPI 1962078642 · Periodontics · South Bend, IN
Periodontal Associates of South Bend is a Periodontics organization in South Bend, IN (NPI 1962078642).
Provider details
- NPI number
- 1962078642
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Gloria Royer, Practice Manager(765) 447-9319
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
1918 Edison Rd
South Bend, IN 46617-1711
Phone: (574) 287-8900
Street-level locationGet directions
Mailing address
1918 Edison Rd
South Bend, IN 46617-1711
Other names (DBA / former)
- Doing business as
- Periodontal Associates of South Bend
Registry dates
- Enumerated
- 2021-06-02
- Last updated
- 2021-06-02
- Certified
- 2021-06-02
Frequently asked questions
- What is Periodontal Associates of South Bend's NPI number?
- Periodontal Associates of South Bend's National Provider Identifier (NPI) is 1962078642, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Periodontal Associates of South Bend?
- Periodontal Associates of South Bend is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Periodontal Associates of South Bend located?
- Periodontal Associates of South Bend's practice location on file with NPPES is 1918 Edison Rd, South Bend, IN 46617-1711.
- What is Periodontal Associates of South Bend's phone number?
- The practice phone number listed in the NPPES registry for Periodontal Associates of South Bend is (574) 287-8900.
- Who is the authorized official for Periodontal Associates of South Bend?
- The authorized official listed on Periodontal Associates of South Bend's NPPES record is Gloria Royer, Practice Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Periodontal Associates of South Bend's NPI active?
- Yes — Periodontal Associates of South Bend's NPI (1962078642) is active in the NPPES registry as of the last update on 2021-06-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.