East Central Indiana Oral and Maxillofacial Surgery, LLC

NPI #1720330004 in Muncie, Indiana

Provider Information

NPI Number: 1720330004
Entity Type: Organization
Organization Name: East Central Indiana Oral and Maxillofacial Surgery, LLC
Primary Specialty: Clinic/Center - Oral and Maxillofacial Surgery
Enumeration Date: Oct 10, 2012
Last Updated: Oct 10, 2012

Practice Location

Address: 3895 N WHEELING AVE
City: Muncie
State: Indiana
ZIP Code: 47304-1776
Phone: (765) 281-1131

Authorized Official

Name: DR. HARRY PAPADOPOULOS, DDS, MD
Title: PRACTICE CO-OWNER
Phone: (765) 281-1131

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	261QS0112X	Primary

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