| Martinsville Oral & Maxillofacial Surgery | |
|
509 State Road 39 Byp S Martinsville IN 46151-1972 | |
| (765) 352-9700 | |
| (765) 352-9701 |
| Full Name | Martinsville Oral & Maxillofacial Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 509 State Road 39 Byp S, Martinsville, Indiana |
| Authorized Official Name and Position | Scott E Tate (OWNER) |
| Authorized Official Contact | 8123239700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Martinsville Oral & Maxillofacial Surgery 509 State Road 39 Byp S Martinsville IN 46151-1972 Ph: (765) 352-9700 | Martinsville Oral & Maxillofacial Surgery 509 State Road 39 Byp S Martinsville IN 46151-1972 Ph: (765) 352-9700 |
| NPI Number | 1619268265 |
|---|---|
| Provider Enumeration Date | 04/29/2011 |
| Last Update Date | 04/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619268265 | NPI | - | NPPES |
| 200448260 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 12010196 (Indiana) | Primary |
Global Smiles Dental 12 Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9351 E State Road 144, Martinsville, IN 46151 Phone: 317-422-4944 | |
Kevin A Deloria Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1690 S Ohio St, Martinsville, IN 46151 Phone: 765-342-8435 Fax: 765-342-3561 | |
David M Sparks Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1690 S Ohio St, Martinsville, IN 46151 Phone: 765-342-8435 Fax: 765-342-3561 | |
Martinsville Pediatric Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1690 S Ohio St, Martinsville, IN 46151 Phone: 765-342-8435 | |
Bluff Creek Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9351 State Road 144, Martinsville, IN 46151 Phone: 317-422-4944 | |
Mcfadden Family Dentistry, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 509 State Road 39 Byp S, Martinsville, IN 46151 Phone: 765-342-3232 Fax: 765-342-3291 | |
Martinsville Pediatric Dentistry, L.l.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1690 S Ohio St, Martinsville, IN 46151 Phone: 765-342-8435 Fax: 765-342-3561 |