TRI-STATE ORAL SURGERY, LLC is an oral and maxillofacial surgery dentist in Evansville, 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. TRI-STATE ORAL SURGERY, LLC NPI is 1710366323. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
405 BENTEE WES CT
EVANSVILLE, IN
ZIP 47715-061
Phone: (812) 401-3500
Fax: (812) 401-3600
The provider's authorized official is Mark E. Wohlford .
The authorized official title is Owner and has the following contact phone number (812) 401-3500.
The CLIA number assigned to this NPI record is 15D2248889 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/28/2015 and was last updated on 5/28/2015.