Healthcare Provider Details

I. General information

NPI: 1417881566
Provider Name (Legal Business Name): ERIN PASCH DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 SUPERIOR ST
ELKHART IN
46516-4704
US

IV. Provider business mailing address

61560 DRUID LN
SOUTH BEND IN
46614-5802
US

V. Phone/Fax

Practice location:
  • Phone: 574-970-1937
  • Fax: 574-970-1939
Mailing address:
  • Phone: 317-987-4046
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223D0001X
TaxonomyPublic Health Dentistry
License Number12015060A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number12015060A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: