Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EDISON LAKES ORAL SURGERY, P.C.
Active OrganizationEDISON LAKES ORAL SURGERY, P.C. is a Oral and Maxillofacial Surgery Clinic organization located in SOUTH BEND, Indiana. NPI 1881887065 is currently active in the NPPES registry. Verify at CMS.
Oral and Maxillofacial Surgery Clinic · SOUTH BEND, IN
Registration Details
- NPI Number
- 1881887065
- Provider Type
- Organization
- NPI Issued
- Aug 22, 2007 (18.796346683301 yrs)
- Last Updated
- May 6, 2024
- License
-
12010802A (IN)
Practice Information
- Address
-
3367 DOUGLAS RDSOUTH BEND, IN, 466351779Browse IN providers · Browse ZIP 46635
- Phone
- 5742728823
- Fax
- 5742771837
- Primary Specialty
-
Oral and Maxillofacial Surgery Clinic
261QS0112X
- Additional Specialty
- Oral and Maxillofacial Surgery Clinic
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.