Oral Surgery Of Indiana, Llc

LBN: Oral Surgery Of Indiana, Llc
Oral Surgery Of Indiana, Llc is an health care organization with primary practice located at 620 S Tillotson Ave , Muncie IN 47304-4448. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Ambulatory Health Care Facilities / Dental. Dental Providers / Oral and Maxillofacial Surgery is the primary health care specialty. Oral Surgery Of Indiana, Llc can be contacted via phone (770) 692-1000, or through Leonard, Tamonia via phone (678) 244-4844.

Contact Information

Primary practice address
620 S Tillotson Ave Muncie IN 47304-4448
Phone: (770) 692-1000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Leonard, Tamonia
Phone: (678) 244-4844

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1376181347
LBN Legal business name Oral Surgery Of Indiana, Llc
DBA Doing business as
Authorized official Leonard, Tamonia
Entity Organization
Organization subpart 1 No
Enumeration date Dec 20th, 2019
Last updated Dec 20th, 2019 - about 7 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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