| Columbus Oral & Maxillofacial Surgery Psc | |
|
2350 Northpark Columbus IN 47203-4466 | |
| (812) 372-7312 | |
| (812) 378-9451 |
| Full Name | Columbus Oral & Maxillofacial Surgery Psc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2350 Northpark, Columbus, Indiana |
| Authorized Official Name and Position | Barbara Kaiser (OFFICE MANAGER) |
| Authorized Official Contact | 8123727312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbus Oral & Maxillofacial Surgery Psc 2350 Northpark Columbus IN 47203-4466 Ph: (812) 372-7312 | Columbus Oral & Maxillofacial Surgery Psc 2350 Northpark Columbus IN 47203-4466 Ph: (812) 372-7312 |
| NPI Number | 1629134515 |
|---|---|
| Provider Enumeration Date | 12/28/2006 |
| Last Update Date | 04/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629134515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 54000102A (Indiana) | Primary |
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