ORAL SURGERY GROUP - CORYDON LLC NPI 1326572579

NPI Information

  • NPI: 1326572579
  • Provider Name: ORAL SURGERY GROUP - CORYDON LLC
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Address: 2086 OLD HWY 135 NW
    1
    CORYDON, IN
    ZIP 47112
  • Phone: (502) 254-8500

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NPI Details

ORAL SURGERY GROUP - CORYDON LLC is an oral and maxillofacial surgery dentist in Corydon, 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. ORAL SURGERY GROUP - CORYDON LLC NPI is 1326572579. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2086 OLD HWY 135 NW
1
CORYDON, IN
ZIP 47112-016
Phone: (502) 254-8500

The provider's authorized official is Stephen C James .
The authorized official title is Cfo and has the following contact phone number (502) 254-8500.

The enumeration date for this NPI number is 4/14/2017 and was last updated on 4/14/2017.

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 SurgeryYes

What is NPI?

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

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