Organization · Type 2 NPI
Tri-State Oral Surgery, LLC
Oral and Maxillofacial Surgery (Dentist) · Evansville, IN
NPI number
1710366323
Active
Practice location
405 Bentee Wes Ct
Evansville, IN 47715-4061
Fax (812) 401-3600
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 12009501A (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
Other oral and maxillofacial surgery (dentist) providers in Evansville
About NPI 1710366323
Tri-State Oral Surgery, LLC's National Provider Identifier is 1710366323, issued on May 28, 2015. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Evansville, IN. The record was last updated on May 28, 2015.