Organization · Type 2 NPI

Intp Dental PC

Oral and Maxillofacial Surgery (Dentist) · Indianapolis, IN

NPI number 1396189387 Active

Practice location

8555 River Rd Ste 180
Indianapolis, IN 46240-4311

Fax (866) 803-4946

Mailing address

PO Box 3189
Syracuse, NY 13220-3189

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X11275 (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 1396189387

Intp Dental PC's National Provider Identifier is 1396189387, issued on Apr 22, 2013. 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 Apr 22, 2013.