Indiana Oral And Maxillofacial Surgery Associates

LBN: Indiana Oral & Maxillofacial Surgery Associates Pc
Indiana Oral And Maxillofacial Surgery Associates is an health care organization with primary practice located at 10972 Allisonville Rd Suite 110, Fishers IN 46038-2637. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Indiana Oral & Maxillofacial Surgery Associates Pc can be contacted via phone (317) 913-2363, or through Miller, Keith via phone (317) 913-2363.

Contact Information

Primary practice address
10972 Allisonville Rd Suite 110 Fishers IN 46038-2637
Fax: (317) 913-2370
Website:
Authorized official contact:
Name: Miller, Keith

Health care specialties

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

Profile Details

NPI number 1407809585
LBN Legal business name Indiana Oral & Maxillofacial Surgery Associates Pc
DBA Doing business as Indiana Oral And Maxillofacial Surgery Associates
Authorized official Miller, Keith
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2006
Last updated Apr 14th, 2017 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407809585 NPPES
Indiana MEDICAID 100059140

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