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Midwest Oral And Maxillofacial Surgery P C
Oral and Maxillofacial Surgery (Dentist) in Columbia City, Indiana
NPI 1467507798

Midwest Oral And Maxillofacial Surgery P C is a Oral and Maxillofacial Surgery (Dentist) based in Fort Wayne, IN and is specialized in Oral and Maxillofacial Surgery. Midwest Oral And Maxillofacial Surgery P C practices in Columbia City, IN. The NPI Number for Midwest Oral And Maxillofacial Surgery P C is 1467507798 and holds a License No. 54000677 (Indiana).

The current practice location address for Midwest Oral And Maxillofacial Surgery P C is 516 N Line St, Columbia City, IN and can be reached out via phone at 260-244-4007. You can also correspond with Midwest Oral And Maxillofacial Surgery P C through the mailing address at 3303 TRIER RD, FORT WAYNE, IN - 46815-4768 (mailing address contact number: 260-484-9990).

Location: 516 N Line St, Columbia City, IN, 46815-4768
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467507798
Provider Name
Midwest Oral And Maxillofacial Surgery P C
Credential
Provider Entity Type
Organization
Address
516 N Line St, Columbia City, IN, 46815-4768
Phone Number
260-244-4007
Fax Number
Provider Enumeration Date
01/25/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200147450 05 IN
institution
Provider Business Practice Location Address Details
Address
516 N Line St
City
Columbia City
State
Indiana
Zip
46725-1230
Phone Number
260-244-4007
Fax Number
person
Provider Business Mailing Address Details
Address
3303 Trier Rd
City
Fort Wayne
State
Indiana
Zip
46815-4768
Phone Number
260-484-9990
Fax Number
260-484-6573
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
54000677 (Indiana)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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