Individual provider · Type 1 NPI

Michael Leonard Bagnoli

Oral and Maxillofacial Surgery (Dentist) · Lafayette, IN

NPI number 1700976719 Active

Practice location

2020 Union Street, Suite 200
Lafayette, IN 47904

Call (765) 446-8808 Map

Fax (765) 446-9567

Mailing address

40 Redwood Court
Lafayette, IN 47904

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X12008541A (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.

2 other providers at this address

Other oral and maxillofacial surgery (dentist) providers in Lafayette

See all in Lafayette →

About NPI 1700976719

Michael Leonard Bagnoli's National Provider Identifier is 1700976719, issued on Oct 13, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Lafayette, IN. The record was last updated on Jul 8, 2007.