Organization · Type 2 NPI

Southern Indiana Oral and Maxillofacial Surgery P.s.c.

Specialist · Jeffersonville, IN

NPI number 1699989434 Active

Practice location

207 Sparks Ave, Suite 002
Jeffersonville, IN 47130-3771

Call (812) 282-8467 Map

Fax (812) 282-3067

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X12007773 (IN)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1699989434

Southern Indiana Oral and Maxillofacial Surgery P.s.c.'s National Provider Identifier is 1699989434, issued on May 10, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Jeffersonville, IN. The record was last updated on Jan 4, 2012.