MICHEAL J DEADY DDS INC NPI 1114007838

NPI Information

  • NPI: 1114007838
  • Provider Name: MICHEAL J DEADY DDS INC
  • Classification: Oral & Maxillofacial Surgery - 204E00000X
  • Entity Type: Organization
  • Address: 1630 POPLAR ST
    TERRE HAUTE, IN
    ZIP 47807
  • Phone: (812) 232-2108

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NPI Details

MICHEAL J DEADY DDS INC is an oral maxillofacial surgery in Terre Haute, IN. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. MICHEAL J DEADY DDS INC NPI is 1114007838. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1630 POPLAR ST
TERRE HAUTE, IN
ZIP 47807
Phone: (812) 232-2108
Fax: (812) 232-2426

The provider's authorized official is Michael Joseph Deady .
The authorized official title is Pres and has the following contact phone number (812) 232-2108.

The enumeration date for this NPI number is 10/17/2006 and was last updated on 8/22/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1204E00000XOral & Maxillofacial Surgery12006188INDIANAYes

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This page was last updated on: 11/21/2025

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