| Indianapolis Oral Surgery & Dental Implant Center | |
|
1320 N Post Rd Indianapolis IN 46219-4210 | |
| (317) 898-2555 | |
| (317) 898-2556 |
| Full Name | Indianapolis Oral Surgery & Dental Implant Center |
|---|---|
| Speciality | Dentist |
| Location | 1320 N Post Rd, Indianapolis, Indiana |
| Authorized Official Name and Position | Lawrence Falender (OWNER) |
| Authorized Official Contact | 3178982555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Indianapolis Oral Surgery & Dental Implant Center 1320 N Post Rd Indianapolis IN 46219-4210 Ph: (317) 898-2555 | Indianapolis Oral Surgery & Dental Implant Center 1320 N Post Rd Indianapolis IN 46219-4210 Ph: (317) 898-2555 |
| NPI Number | 1154710267 |
|---|---|
| Provider Enumeration Date | 01/13/2015 |
| Last Update Date | 01/13/2015 |
| Medicare PECOS PAC ID | 5890076368 |
|---|---|
| Medicare Enrollment ID | O20161222000103 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154710267 | NPI | - | NPPES |
| 100129860 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 12008529 (Indiana) | Primary |
| Provider Name | Lawrence G Falender |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1548228513 PECOS PAC ID: 6608893813 Enrollment ID: I20051027000473 |
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