College Park Oral & Maxillofacial Surgery

LBN: College Park Oral & Maxillofacial Surgery
College Park Oral & Maxillofacial Surgery is an health care organization with primary practice located at 3677 W 86Th Street , Indianapolis IN 46268-1902. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. College Park Oral & Maxillofacial Surgery can be contacted via phone (317) 872-7777, or through Smith, J Harold via phone (317) 872-7777.

Contact Information

Primary practice address
3677 W 86Th Street Indianapolis IN 46268-1902
Phone: (317) 872-7777
Fax: (317) 872-3174
Website:
Map and Directions
Authorized official contact:
Name: Smith, J Harold Doctor of Dental Surgery (DDS)
Phone: (317) 872-7777

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X Indiana

Profile Details

NPI number 1043309719
LBN Legal business name College Park Oral & Maxillofacial Surgery
DBA Doing business as
Authorized official Smith, J Harold Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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