Oral Surgery of Indiana, LLC

NPI #1376181347 in Muncie, Indiana

Provider Information

NPI Number: 1376181347
Entity Type: Organization
Organization Name: Oral Surgery of Indiana, LLC
Primary Specialty: Dentist - Oral and Maxillofacial Surgery
Enumeration Date: Dec 20, 2019
Last Updated: Dec 20, 2019

Practice Location

Address: 620 S TILLOTSON AVE
City: Muncie
State: Indiana
ZIP Code: 47304-4448
Phone: (770) 692-1000

Authorized Official

Name: TAMONIA LEONARD
Title: CREDENTAILING SPECIALIST
Phone: (678) 244-4844

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X	Primary

Similar Providers

Individual Providers

Provider Name	Specialty	City
DR. Alex K Walker, DMD	Dentist - Oral and Maxillofacial Surgery	Muncie	AI Deep Dive
DR. Anthony James Hornaday, D.D.S.	Dentist - Oral and Maxillofacial Surgery	Muncie	AI Deep Dive
DR. Bernard Jay Asdell, D.D.S.	Dentist - Oral and Maxillofacial Surgery	South Bend	AI Deep Dive
Stanley C. Jachimowicz, DDS	Dentist - Oral and Maxillofacial Surgery	Carmel	AI Deep Dive

Organizations

Provider Name	Specialty	City
Anthony J. Hornaday, D.d.s.	Dentist - Oral and Maxillofacial Surgery	Muncie	AI Deep Dive

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