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INDIANA CENTER FOR SURGICAL ARTS NPI 1144676123


NPI Information

NPI: 1144676123
Provider Name: INDIANA CENTER FOR SURGICAL ARTS
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
6117 N COLLEGE AVE
SUITE 4
INDIANAPOLIS, IN
ZIP 46220
Phone: (317) 257-5442
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INDIANA CENTER FOR SURGICAL ARTS is an oral and maxillofacial surgery dentist in Indianapolis, 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. INDIANA CENTER FOR SURGICAL ARTS NPI is 1144676123. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6117 N COLLEGE AVE
SUITE 4
INDIANAPOLIS, IN
ZIP 46220-233
Phone: (317) 257-5442

The provider's authorized official is David Michael Montes .
The authorized official title is Sole Proprietor and has the following contact phone number (317) 257-5442.

The enumeration date for this NPI number is 5/10/2016 and was last updated on 5/10/2016.


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
11223S0112XDentistOral and Maxillofacial SurgeryINDIANAYes

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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