Organization · Type 2 NPI

Lafayette Oral and Maxillofacial Surgery Group, P.c.

Oral and Maxillofacial Surgery (Dentist) · Lafayette, IN

NPI number 1972685238 Active

Practice location

2 Executive Dr, Suite A
Lafayette, IN 47905-4859

Fax (765) 807-0234

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X1201055A (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.

6 other providers at this address

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About NPI 1972685238

Lafayette Oral and Maxillofacial Surgery Group, P.c.'s National Provider Identifier is 1972685238, issued on Oct 19, 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 Aug 22, 2020.