Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619144672 Individual Practitioner Male Practitioner

Dr. James Alvin Douglas , DDS

Dentist - General Practice • South Bend, IN

Professional Overview & Biography Verified Profile Summary

Dr. James Douglas, DDS is a registered healthcare professional specializing in Dentist - General Practice in South Bend, IN. Practice services are available at 820 E COLFAX AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

820 E Colfax Ave

South Bend, IN 466172804

Telephone 5742895776
Fax 5742895777

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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IN 12006702A

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

2 Associated Practitioners
Dr. Christopher Conroy , DDS

Dentist - General Practice

NPI 1437834413

Doctor of Dental Surgery

Dr. Mark Bantz , DDS

Dentist - General Practice

NPI 1699919183

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 09, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location May 09, 2008

Registered at 820 E COLFAX AVE, SOUTH BEND, IN 466172804 (Tel: 5742895776)

📍
Updated Business Mailing Address May 09, 2008

Registered at 820 E COLFAX AVE, SOUTH BEND, IN 466172804 (Tel: 5742895776)

👤
Provider Name / Credentials Updated May 09, 2008

Recorded as JAMES DOUGLAS, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 09, 2008

Dentist (License #12006702A in IN)

🟢
Initial NPI Registration & Enumeration May 09, 2008

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: 1619144672
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 09, 2008
Last Update: May 09, 2008
Sole Proprietor: Yes

Mailing Address

820 E Colfax Ave

South Bend, IN 466172804

Phone: 5742895776

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.