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Edison Lakes Oral Surgery, P.C.

Oral and Maxillofacial Surgery Clinic/Center in South Bend, IN · enumerated 2007 · authorized official Edward Collins, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1881887065

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Registry record

Entity type Organization (Type 2)
Legal business name Edison Lakes Oral Surgery, P.C.
Other name <Unavail>
Practice address 3367 Douglas Rd, South Bend, IN, 46635
Phone (574) 272-8823
Fax (574) 277-1837
Enumeration date Aug 22, 2007
Last updated in NPPES May 6, 2024

Taxonomy & classification

1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers Secondary
261QS0112X Oral and Maxillofacial Surgery Clinic/Center Ambulatory Health Care Facilities · License 12010802A (IN) Primary

Authorized official

Name Edward Collins
Title Owner
Phone (574) 272-8823

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-05-06. Verify at npiregistry.cms.hhs.gov.
Where is Edison Lakes Oral Surgery, P.C. located?
The practice location on file with NPPES is in South Bend, IN.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-05-06.