| S. Indiana Oral Surgery, P.c. | |
|
1316 Duncan Ave Jeffersonville IN 47130-3723 | |
| (812) 282-8467 | |
| Not Available |
| Full Name | S. Indiana Oral Surgery, P.c. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1316 Duncan Ave, Jeffersonville, Indiana |
| Authorized Official Name and Position | Jonathan Swope (OWNER) |
| Authorized Official Contact | 4029689645 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| S. Indiana Oral Surgery, P.c. 1316 Duncan Ave Jeffersonville IN 47130-3723 Ph: () - | S. Indiana Oral Surgery, P.c. 1316 Duncan Ave Jeffersonville IN 47130-3723 Ph: (812) 282-8467 |
| NPI Number | 1003561325 |
|---|---|
| Provider Enumeration Date | 02/15/2022 |
| Last Update Date | 02/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003561325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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