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Active NPI 1578916557 Individual Practitioner Male Practitioner

Dr. Stephen Hendricks , DDS

Dentist - General Practice • South Bend, IN

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Hendricks, DDS is a registered healthcare professional specializing in Dentist - General Practice in South Bend, IN. Practice services are available at 17455 DOUGLAS RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

17455 Douglas Rd

South Bend, IN 466351732

Telephone 5742435586
Fax 5742435587
Associated Practice Facility / Clinic

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: 2021-01-13
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IN 12012768A

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. David Douglas , DDS

Dentist - General Practice

NPI 1376575076

Doctor of Dental Surgery

NPI 1528127685

Doctor of Dental Surgery

Dr. Harvey Weingarten , DDS

Dentist - General Practice

NPI 1699841270

Doctor of Dental Surgery

Dr. Alon Shemesh , DDS

Dentist - General Practice

NPI 1760558340

Doctor of Dental Surgery

Career & Practice History Timeline

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

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2021

Dentist (License #12012768A in IN)

📍
Updated Practice Location December 30, 2020

Registered at 17455 DOUGLAS RD, SOUTH BEND, IN 466351732 (Tel: 5742435586)

📍
Updated Business Mailing Address December 30, 2020

Registered at 17455 DOUGLAS RD, SOUTH BEND, IN 466351732 (Tel: 5742435586)

NPI Profile Active July 14, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location July 14, 2016

Registered at 5531 BRUNSWICK BLVD, WATERFORD, MI 483272511 (Tel: 5742105097)

📍
Updated Business Mailing Address July 14, 2016

Registered at 5531 BRUNSWICK BLVD, WATERFORD, MI 483272511 (Tel: 5742105097)

👤
Provider Name / Credentials Updated July 14, 2016

Recorded as STEPHEN HENDRICKS, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2016

Dentist (License #2901021997 in MI)

🟢
Initial NPI Registration & Enumeration July 14, 2016

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: 1578916557
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 14, 2016
Last Update: January 13, 2021
Sole Proprietor: Yes

Mailing Address

17455 Douglas Rd

South Bend, IN 466351732

Phone: 5742435586

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.