| Marion Oral & Maxillofacial Surgeons, Inc. | |
|
702 N River Dr Marion IN 46952-2647 | |
| (765) 664-1076 | |
| (765) 668-4299 |
| Full Name | Marion Oral & Maxillofacial Surgeons, Inc. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 702 N River Dr, Marion, Indiana |
| Authorized Official Name and Position | Charlie Cox (DOCTOR) |
| Authorized Official Contact | 7656641076 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marion Oral & Maxillofacial Surgeons, Inc. 702 N River Dr Marion IN 46952-2647 Ph: (765) 664-1076 | Marion Oral & Maxillofacial Surgeons, Inc. 702 N River Dr Marion IN 46952-2647 Ph: (765) 664-1076 |
| NPI Number | 1861604449 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 07/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861604449 | NPI | - | NPPES |
| 100466560 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 12007459 (Indiana) | Primary |
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Progressive Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 830 N Theatre Rd, Marion, IN 46952 Phone: 765-664-0028 | |
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