Oral And Maxillofacial Surgery Center Of Lafayette | |
2020 Union Street Suite 200 Lafayette IN 47904 | |
(765) 446-8808 | |
(765) 446-9567 |
Full Name | Oral And Maxillofacial Surgery Center Of Lafayette |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 2020 Union Street, Lafayette, Indiana |
Authorized Official Name and Position | Courtney A James (OFFICE MANAGER) |
Authorized Official Contact | 7654468808 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Oral And Maxillofacial Surgery Center Of Lafayette 2020 Union Street Suite 200 Lafayette IN 47904 Ph: (765) 446-8808 | Oral And Maxillofacial Surgery Center Of Lafayette 2020 Union Street Suite 200 Lafayette IN 47904 Ph: (765) 446-8808 |
NPI Number | 1154411163 |
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Provider Enumeration Date | 10/13/2006 |
Last Update Date | 02/27/2009 |
Identifier | Type | State | Issuer |
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1154411163 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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