Organization · Type 2 NPI

In Oral and Facial Surgery

Oral and Maxillofacial Surgery (Dentist) · Indianapolis, IN

NPI number 1265222103 Active

Practice location

1320 N Post Rd
Indianapolis, IN 46219-4210

Call (317) 898-2555 Map

Mailing address

3700 Ingleside Blvd
Ladson, SC 29456-4141

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 1265222103

In Oral and Facial Surgery's National Provider Identifier is 1265222103, issued on May 12, 2025. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Indianapolis, IN. The record was last updated on May 12, 2025.