Oral & Maxillofacial Surgery Associates Pc
LBN: Oral & Maxillofacial Surgery Associates Pc
Oral & Maxillofacial Surgery Associates Pc is an health care organization with primary practice located at 7845 Carnegie Blvd , Fort Wayne IN 46804. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Dental Providers / Oral and Maxillofacial Surgery is the primary health care specialty.
Oral & Maxillofacial Surgery Associates Pc can be contacted via phone (260) 969-4105, or through Sholl, Celeste C via phone (260) 423-2340.
Contact Information
Primary practice address
7845 Carnegie Blvd
Fort Wayne IN 46804
Phone: (260) 969-4105
Fax: (260) 969-4118
Website:
Authorized official contact:
Name: Sholl, Celeste C Certified Dental Assistant (CDA)
Phone: (260) 423-2340
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | ||
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X |
Profile Details
| NPI number | 1831264324 |
|---|---|
| LBN Legal business name | Oral & Maxillofacial Surgery Associates Pc |
| DBA Doing business as | |
| Authorized official | Sholl, Celeste C Certified Dental Assistant (CDA) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 21st, 2006 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831264324 | NPPES |
| Indiana | Other | 6185590001 | DME MAC |
| Indiana | Other | 6185590001 | DME MAC |
| Indiana | MEDICAID | 200029030 | DME MAC |
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