Individual provider · Type 1 NPI

Robert E. McMahon, DDS

Oral and Maxillofacial Surgery (Dentist) · Valparaiso, IN

NPI number 1174617633 Active

Practice location

502 Wall Street
Valparaiso, IN 46383-2564

Fax (219) 464-7351

Mailing address

8691 Connecticut Street
Merrillville, IN 46410-6287

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X12007695 (IN)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1174617633

Robert E. McMahon, DDS's National Provider Identifier is 1174617633, issued on Oct 2, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Valparaiso, IN. The record was last updated on Jul 8, 2007.