NPI: 1356978753
Provider Name: STARR ORAL & MAXILLOFACIAL SURGERY, LLC
Doing Business As: STARR ORAL SURGERY, LLC
Classification: Dentist - 1223S0112X
Entity Type: Organization
Specialization: Oral and Maxillofacial Surgery
Address:
473 S LANDMARK AVE
BLOOMINGTON, IN
ZIP 47403
Phone: (812) 318-1023
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STARR ORAL & MAXILLOFACIAL SURGERY, LLC is an oral and maxillofacial surgery dentist in Bloomington, IN. The provider is the specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. STARR ORAL & MAXILLOFACIAL SURGERY, LLC NPI is 1356978753. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Starr Oral Surgery, Llc.
The provider's business location address is:
473 S LANDMARK AVE
BLOOMINGTON, IN
ZIP 47403-005
Phone: (812) 318-1023
The provider's authorized official is Austin C. Starr .
The authorized official title is Oral & Maxillofacial Surgeon and has the following contact phone number (812) 318-1023.
The enumeration date for this NPI number is 3/25/2020 and was last updated on 6/22/2020.