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Bloomington Oral & Maxillofacial Surgery
Oral and Maxillofacial Surgery (Dentist) in Martinsville, Indiana
NPI 1619268265

Bloomington Oral & Maxillofacial Surgery is a Oral and Maxillofacial Surgery (Dentist) based in Martinsville, IN and is specialized in Oral and Maxillofacial Surgery. Bloomington Oral & Maxillofacial Surgery practices in Martinsville, IN. The NPI Number for Bloomington Oral & Maxillofacial Surgery is 1619268265 and holds a License No. 12010196 (Indiana).

The current practice location address for Bloomington Oral & Maxillofacial Surgery is 509 State Road 39 Byp S, Martinsville, IN and can be reached out via phone at 765-352-9700 and via fax at 765-352-9701.

Location: 509 State Road 39 Byp S, Martinsville, IN, 46151-1972
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619268265
Provider Name
Bloomington Oral & Maxillofacial Surgery
Credential
Provider Entity Type
Organization
Address
509 State Road 39 Byp S, Martinsville, IN, 46151-1972
Phone Number
765-352-9700
Fax Number
765-352-9701
Provider Enumeration Date
04/29/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200448260 05 IN
institution
Provider Business Practice Location Address Details
Address
509 State Road 39 Byp S
City
Martinsville
State
Indiana
Zip
46151-1972
Phone Number
765-352-9700
Fax Number
765-352-9701
person
Provider Business Mailing Address Details
Address
509 State Road 39 Byp S
City
Martinsville
State
Indiana
Zip
46151-1972
Phone Number
765-352-9700
Fax Number
765-352-9701
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
12010196 (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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