Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174905343 Individual Practitioner Male Practitioner

Dr. Eric Stefanski , DDS

Dentist - General Practice • South Bend, IN

Professional Overview & Biography Verified Profile Summary

Dr. Eric Stefanski, DDS is a registered healthcare professional specializing in Dentist - General Practice in South Bend, IN. Practice services are available at 3410 DOUGLAS RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3410 Douglas Rd

South Bend, IN 46635

Telephone 5742344117
Associated Practice Facility / Clinic
🏢 Zent Family Dentistry Llc Facility NPI 1205680725

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in South Bend, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
50 Specialists

Practicing in South Bend, IN (2204 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-02-25
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IN 12013116A

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License MI 2901021614

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Mhd Farouk Alshatti , DDS

Dentist - General Practice

NPI 1144029778

Doctor of Dental Surgery

Dr. Sheena Zent , DDS

Dentist - General Practice

NPI 1578858981

Doctor of Dental Surgery

Dr. Mark Bantz , DDS

Dentist - General Practice

NPI 1699919183

Doctor of Dental Surgery

Dr. Stephen Zent , DDS

Dentist - General Practice

NPI 1912295858

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location March 18, 2021

Registered at 3410 DOUGLAS RD, SOUTH BEND, IN 46635 (Tel: 5742344117)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 18, 2021

Dentist (License #12013116A in IN)

NPI Profile Active June 25, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 25, 2015

Registered at 62225 M 62, CASSOPOLIS, MI 490318733 (Tel: 2694458636)

📍
Updated Business Mailing Address June 25, 2015

Registered at PO BOX 335, CASSOPOLIS, MI 490310335 (Tel: 2694458636)

👤
Provider Name / Credentials Updated June 25, 2015

Recorded as ERIC STEFANSKI, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2015

Dentist (License #2901021614 in MI)

🟢
Initial NPI Registration & Enumeration June 24, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174905343
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 24, 2015
Last Update: March 18, 2021
Sole Proprietor: No

Mailing Address

Po Box 335

Cassopolis, MI 490310335

Phone: 2694458636

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.