Kevin Patrick Bedford, DDS

Dentist · Mishawaka, IN

Individual Active NPI

NPI number 1063254415

Practice location

330 Park Pl
Mishawaka, IN 46545-3555
Phone
(574) 259-9956

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NPI record

NPI
1063254415
Entity type
Individual (Type 1)
Enumeration date
June 7, 2024
Last updated
June 7, 2024
Certified
June 4, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 12014453A IN

Mailing address

15817 Gateshead Dr
Westfield, IN 46074-5035
Phone
(570) 390-0933

About Dr. Bedford

Kevin Patrick Bedford, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 330 Park Pl, Mishawaka, IN 46545-3555. The NPI number 1063254415 was assigned on June 7, 2024 and the record was last updated on June 7, 2024.

Dr. Bedford lists a license in the registry: #12014453A (IN) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kevin Patrick Bedford, DDS?

The NPI number is 1063254415.

What is the phone number of Dr. Bedford?

The phone number listed for the practice location is (574) 259-9956.

Where is Dr. Bedford located?

330 Park Pl, Mishawaka, IN 46545-3555.

What is the taxonomy code for Dr. Bedford?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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