EDISON LAKES ORAL SURGERY, P.C. is an oral and maxillofacial surgery clinic center in Mishawaka, IN. The provider is an oral and maxillofacial surgery clinic or center 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. EDISON LAKES ORAL SURGERY, P.C. NPI is 1881887065. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
270 E DAY RD
SUITE 260
MISHAWAKA, IN
ZIP 46545-444
Phone: (574) 272-8823
Fax: (574) 277-1837
The provider's authorized official is Edward Charles Collins .
The authorized official title is Owner and has the following contact phone number (574) 272-8823.
The enumeration date for this NPI number is 8/22/2007 and was last updated on 7/15/2022.