Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BLOOMINGTON ORAL & MAXILLOFACIAL SURGERY GROUP
Active OrganizationBLOOMINGTON ORAL & MAXILLOFACIAL SURGERY GROUP is a Oral & Maxillofacial Surgery (Physician) organization located in BLOOMINGTON, Indiana. NPI 1386762318 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery (Physician) · BLOOMINGTON, IN
Registration Details
- NPI Number
- 1386762318
- Provider Type
- Organization
- NPI Issued
- Mar 27, 2007 (19.41329424715 yrs)
- Last Updated
- Aug 22, 2020
- License
-
IN12010196A (IN)
Practice Information
- Address
-
637 S WALKER STREETSUITE 1BLOOMINGTON, IN, 474032154Browse IN providers · Browse ZIP 47403
- Phone
- 8123239700
- Fax
- 8123239701
- Primary Specialty
-
Oral & Maxillofacial Surgery (Physician)
204E00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.