Organization · Type 2 NPI
Bloomington Oral & Maxillofacial Surgery
Oral and Maxillofacial Surgery (Dentist) · Martinsville, IN
NPI number
1619268265
Active
Practice location
509 State Road 39 Byp S
Martinsville, IN 46151-1972
Fax (765) 352-9701
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 12010196 (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.
Another provider at this address
About NPI 1619268265
Bloomington Oral & Maxillofacial Surgery's National Provider Identifier is 1619268265, issued on Apr 29, 2011. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Martinsville, IN. The record was last updated on Apr 29, 2011.