Oral Surgery Office Llc

LBN: Oral Surgery Office Llc
Oral Surgery Office Llc is an health care organization with primary practice located at 2204 Scott St , Lafayette IN 47904-2933. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Oral Surgery Office Llc can be contacted via phone (765) 447-0525, or through Coates, David Brian via phone (765) 447-0525.

Contact Information

Primary practice address
2204 Scott St Lafayette IN 47904-2933
Phone: (765) 447-0525
Fax: (765) 447-5815
Website:
Map and Directions
Authorized official contact:
Name: Coates, David Brian Doctor of Dental Surgery (DDS)
Phone: (765) 447-0525

Health care specialties

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

Profile Details

NPI number 1881696847
LBN Legal business name Oral Surgery Office Llc
DBA Doing business as
Authorized official Coates, David Brian Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 2nd, 2005
Last updated Jul 21st, 2022 - about 3 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 1881696847 NPPES
Indiana MEDICAID 100232750A

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