| Oral Surgery Group Inc. | |
|
8691 Connecticut St Suite 1 Merrillville IN 46410-6222 | |
| (219) 757-5700 | |
| (219) 757-5706 |
| Full Name | Oral Surgery Group Inc. |
|---|---|
| Speciality | Dentist |
| Location | 8691 Connecticut St, Merrillville, Indiana |
| Authorized Official Name and Position | Sarunas P. Tauras (PRESIDENT) |
| Authorized Official Contact | 2197575700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral Surgery Group Inc. 8691 Connecticut St Suite 1 Merrillville IN 46410-6222 Ph: (219) 757-5700 | Oral Surgery Group Inc. 8691 Connecticut St Suite 1 Merrillville IN 46410-6222 Ph: (219) 757-5700 |
| NPI Number | 1518078435 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4688855497 |
|---|---|
| Medicare Enrollment ID | O20110228000583 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518078435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 7855 (Indiana) | Primary |
| Provider Name | Basel Hajjar |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1962576306 PECOS PAC ID: 0345420014 Enrollment ID: I20110212000051 |
| Provider Name | Robert E Mcmahon |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1174617633 PECOS PAC ID: 8921289737 Enrollment ID: I20110228000618 |
Dr. Daniel J. Femiak D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8687 Connecticut Street Ste. E., Merrillville, IN 46410 Phone: 219-793-9710 Fax: 219-793-9549 | |
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