Organization · Type 2 NPI

Indiana Implant Institute, LLC

Oral and Maxillofacial Surgery (Dentist) · Valparaiso, IN

NPI number 1215895503 Active

Practice location

911 Wall St Ste C
Valparaiso, IN 46383-2553

Other practice locations

  • 809 Wall St Ste B, Valparaiso, IN 46383-2571 · (219) 212-2335

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone listed

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 1215895503

Indiana Implant Institute, LLC's National Provider Identifier is 1215895503, issued on Jan 14, 2026. 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 Jan 14, 2026.