NORTHWEST ORAL SURGEONS PC NPI 1134100902

NPI Information

  • NPI: 1134100902
  • Provider Name: NORTHWEST ORAL SURGEONS PC
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Address: 601A W US HWY 30
    SCHERERVILLE, IN
    ZIP 46375
  • Phone: (219) 322-0501

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NPI Details

NORTHWEST ORAL SURGEONS PC is an oral and maxillofacial surgery dentist in Schererville, IN. The provider is an oral and maxillofacial surgery dentist 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. NORTHWEST ORAL SURGEONS PC NPI is 1134100902. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

601A W US HWY 30
SCHERERVILLE, IN
ZIP 46375-656
Phone: (219) 322-0501
Fax: (219) 322-0577

The provider's authorized official is Paul L Wolf .
The authorized official title is Officer and has the following contact phone number (219) 322-0501.

The enumeration date for this NPI number is 11/9/2005 and was last updated on 8/28/2007.

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
11223S0112XDentistOral and Maxillofacial Surgery54000342AINDIANAYes

What is NPI?

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

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