Fishers Oral & Maxillofacial Surgery

NPI #1174534515 in Fishers, Indiana

Provider Information

NPI Number
1174534515
Entity Type
Organization
Organization Name
Fishers Oral & Maxillofacial Surgery
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Aug 10, 2006
Last Updated
Oct 29, 2012

Practice Location

Address
9126 TECHNOLOGY LN
Address 2
STE 300
State
Indiana
ZIP Code
46038-3064
Phone
(317) 849-3667

Authorized Official

Name
DR. MICHAEL D BENNETT, DDS
Title
PRESIDENT SURGEON
Phone
(317) 849-3667

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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