| Avon Oral & Maxillofacial Surgery Llp | |
|
6695 E Us Highway 36 Avon IN 46123-8923 | |
| (317) 272-2200 | |
| (317) 272-3714 |
| Full Name | Avon Oral & Maxillofacial Surgery Llp |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 6695 E Us Highway 36, Avon, Indiana |
| Authorized Official Name and Position | Kim Kingery (OFFICE MANAGER) |
| Authorized Official Contact | 3172722200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avon Oral & Maxillofacial Surgery Llp 6695 E Us Highway 36 Avon IN 46123-8923 Ph: (317) 272-2200 | Avon Oral & Maxillofacial Surgery Llp 6695 E Us Highway 36 Avon IN 46123-8923 Ph: (317) 272-2200 |
| NPI Number | 1265479737 |
|---|---|
| Provider Enumeration Date | 06/01/2006 |
| Last Update Date | 08/20/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265479737 | NPI | - | NPPES |
| 200298930A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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