Oral Surgery Michiana

LBN: Edison Lakes Oral Surgery, P.C.
Oral Surgery Michiana is an health care organization with primary practice located at 3367 Douglas Rd , South Bend IN 46635-1779. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery. Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery is the primary health care specialty. Edison Lakes Oral Surgery, P.C. can be contacted via phone (574) 272-8823, or through Collins, Edward Charles via phone (574) 272-8823.

Contact Information

Primary practice address
3367 Douglas Rd South Bend IN 46635-1779
Phone: (574) 272-8823
Fax: (574) 277-1837
Website:
Map and Directions
Authorized official contact:
Name: Collins, Edward Charles DDS, MS
Phone: (574) 272-8823

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X
Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery 261QS0112X 12010802A Indiana

Profile Details

NPI number 1881887065
LBN Legal business name Edison Lakes Oral Surgery, P.C.
DBA Doing business as Oral Surgery Michiana
Authorized official Collins, Edward Charles DDS, MS
Entity Organization
Organization subpart 1 No
Enumeration date Aug 22nd, 2007
Last updated May 6th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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