NPI 1134100902

Northwest Oral Surgeons PC

Organisation Oral and Maxillofacial Surgery (Dentist) Schererville, IN

Practice location

Address: 601a W US Hwy 30, Schererville, IN 46375-2656
Phone: (219) 322-0501
Fax: (219) 322-0577

Authorised official

Name: Paul L Wolf
Title: Officer
Phone: (219) 322-0501

Registered specialties

Oral and Maxillofacial Surgery (Dentist) Primary

Dental Providers Taxonomy 1223S0112X Licence 54000342A (IN)

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Registry record

NPI: 1134100902
Entity type: Organization
NPI issued: 9 Nov 2005
Record last updated: 28 Aug 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.