| Oral Surgery Group Of Southern Indiana, Llc | |
|
2441 State St New Albany IN 47150-4962 | |
| (812) 944-7200 | |
| Not Available |
| Full Name | Oral Surgery Group Of Southern Indiana, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2441 State St, New Albany, Indiana |
| Authorized Official Name and Position | Steve James (COO) |
| Authorized Official Contact | 5022548504 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral Surgery Group Of Southern Indiana, Llc Po Box 437169 Louisville KY 40253-7169 Ph: () - | Oral Surgery Group Of Southern Indiana, Llc 2441 State St New Albany IN 47150-4962 Ph: (812) 944-7200 |
| NPI Number | 1831377712 |
|---|---|
| Provider Enumeration Date | 02/04/2008 |
| Last Update Date | 05/14/2013 |
| Medicare PECOS PAC ID | 7416183066 |
|---|---|
| Medicare Enrollment ID | O20131204000720 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831377712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Secondary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Maneesh Mohan |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1154310985 PECOS PAC ID: 9032354741 Enrollment ID: I20131023001297 |
| Provider Name | David A Naselsker |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1790944106 PECOS PAC ID: 1557582202 Enrollment ID: I20141021002154 |
| Provider Name | Alexander B Musser |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1053756502 PECOS PAC ID: 1052553708 Enrollment ID: I20180828002509 |
River Falls Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2676 Charlestown Rd Ste 1, New Albany, IN 47150 Phone: 317-224-8579 | |
Steven L. Farnsley Dds Psc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 Grant Line Ctr, New Albany, IN 47150 Phone: 812-949-7677 | |
Advanced Dental Care Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5120 Charlestown Road, Ste 6, New Albany, IN 47150 Phone: 812-944-3411 Fax: 812-944-3442 | |
Immediadent Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 New Albany Plz, New Albany, IN 47150 Phone: 812-945-4040 Fax: 913-800-6967 | |
Perioimplant Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3620 Blackiston Blvd, Suite 150, New Albany, IN 47150 Phone: 812-948-0408 Fax: 812-948-0409 | |
Immediadent Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 New Albany Plz, New Albany, IN 47150 Phone: 812-945-4040 Fax: 866-591-0604 | |
Maurice R Crowley Dmd Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1919 State St, Suite 402, New Albany, IN 47150 Phone: 812-945-2760 Fax: 812-945-2780 |