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

DR. MICHAEL JOHN BUCZOLICH JR., DDS

Active

DR. MICHAEL JOHN BUCZOLICH JR., DDS is a Dentist healthcare provider located in SOUTH BEND, Indiana. NPI 1962510362 is currently active in the NPPES registry. Verify at CMS.

Dentist · SOUTH BEND, IN

Registration Details

NPI Number
1962510362
Provider Type
Individual
Gender
Male
NPI Issued
Aug 26, 2006 (19.78242159619 yrs)
Last Updated
Jul 8, 2007
License
12009618 (IN)

Practice Information

Address
3533 MCKINLEY AVE
SOUTH BEND, IN, 466153134
Browse IN providers · Browse ZIP 46615
Phone
5742897155
Fax
5742899755
Primary Specialty
Dentist
122300000X

Other Dentist Providers in SOUTH BEND, IN

Name Credential NPI
DR. DAVID M. FOLLIS D.D.S. 1457345688
DR. THOMAS J ALLEN D.D.S. 1679567739
TRACY LYNN BACON DDS 1023099959
DR. LORI F RISSER DR 1437262847
DR. MARTIN RALPH SZAKALY D.D.S. 1750466280
DR. TIMOTHY S KULIK DDS 1356428031
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.