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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ABISOLA JEGEDE, DMD, MPH

Active

DR. ABISOLA JEGEDE, DMD, MPH is a Orthodontics healthcare provider located in SOUTH BEND, Indiana. NPI 1962029934 is currently active in the NPPES registry. Verify at CMS.

Orthodontics · SOUTH BEND, IN

Registration Details

NPI Number
1962029934
Provider Type
Individual
Gender
Female
NPI Issued
Jun 25, 2020 (6.1077317339406 yrs)
Last Updated
Aug 20, 2025
Licenses
7109 (LA)
12014860A (IN)

Practice Information

Address
919 E JEFFERSON BLVD STE 100
SOUTH BEND, IN, 466173112
Browse IN providers · Browse ZIP 46617
Phone
5742457504
Primary Specialty
Orthodontics
1223X0400X
Additional Specialty
Orthodontics

Other Orthodontics Providers in SOUTH BEND, IN

Name Credential NPI
DR. STEVEN C WONG DDS, MS 1588723100
DR. CHAD FULTON HARRINGTON D.D.S., M.S.D. 1346300365
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.