Healthcare Provider Details

I. General information

NPI: 1649102047
Provider Name (Legal Business Name): DANILO ALMEIDA DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2628 E JEFFERSON BLVD
SOUTH BEND IN
46615-2724
US

IV. Provider business mailing address

2628 E JEFFERSON BLVD
SOUTH BEND IN
46615-2724
US

V. Phone/Fax

Practice location:
  • Phone: 574-233-7266
  • Fax: 574-233-7560
Mailing address:
  • Phone: 574-233-7266
  • Fax: 574-233-7560

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number12015015A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: