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EAST CENTRAL INDIANA ORAL AND MAXILLOFACIAL SURGERY LLC NPI 1720330004


NPI Information

NPI: 1720330004
Provider Name: EAST CENTRAL INDIANA ORAL AND MAXILLOFACIAL SURGERY, LLC
Classification: Clinic/Center - 261QS0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
3895 N WHEELING AVE
MUNCIE, IN
ZIP 47304
Phone: (765) 281-1131
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EAST CENTRAL INDIANA ORAL AND MAXILLOFACIAL SURGERY, LLC is an oral and maxillofacial surgery clinic center in Muncie, IN. The provider is an oral and maxillofacial surgery clinic or center specialized in 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. EAST CENTRAL INDIANA ORAL AND MAXILLOFACIAL SURGERY, LLC NPI is 1720330004. The provider is registered as an organization entity type.

The provider's business location address is:

3895 N WHEELING AVE
MUNCIE, IN
ZIP 47304-776
Phone: (765) 281-1131

The provider's authorized official is Harry Papadopoulos .
The authorized official title is Practice Co-owner and has the following contact phone number (765) 281-1131.

The enumeration date for this NPI number is 10/10/2012 and was last updated on 10/10/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QS0112XClinic/CenterOral and Maxillofacial Surgery12010966AINDIANANo
2261QS0112XClinic/CenterOral and Maxillofacial Surgery12008702AINDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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