NPI 1174534515

Fishers Oral & Maxillofacial Surgery

Organisation Oral and Maxillofacial Surgery (Dentist) Fishers, IN

Practice location

Address: 9126 Technology Ln STE 300, Fishers, IN 46038-3064
Phone: (317) 849-3667
Fax: (317) 849-3668

Authorised official

Name: Michael D Bennett
Title: President Surgeon
Phone: (317) 849-3667

Registered specialties

Oral and Maxillofacial Surgery (Dentist) Primary

Dental Providers Taxonomy 1223S0112X Licence 12007758 (IN)

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Registry record

NPI: 1174534515
Entity type: Organization
NPI issued: 10 Aug 2006
Record last updated: 29 Oct 2012

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.