institution
Lafayette Oral And Maxillofacial Surgery Group, P.c.
Oral and Maxillofacial Surgery (Dentist) in Lafayette, Indiana
NPI 1972685238

Lafayette Oral And Maxillofacial Surgery Group, P.c. is a Oral and Maxillofacial Surgery (Dentist) based in Lafayette, IN and is specialized in Oral and Maxillofacial Surgery. Lafayette Oral And Maxillofacial Surgery Group, P.c. practices in Lafayette, IN. The NPI Number for Lafayette Oral And Maxillofacial Surgery Group, P.c. is 1972685238 and holds a License No. 1201055A (Indiana).

The current practice location address for Lafayette Oral And Maxillofacial Surgery Group, P.c. is 2 Executive Dr, Lafayette, IN and can be reached out via phone at 765-807-0230 and via fax at 765-807-0234. You can also correspond with Lafayette Oral And Maxillofacial Surgery Group, P.c. through the mailing address at 2 EXECUTIVE DR, LAFAYETTE, IN - 47905-4859 (mailing address contact number: 765-807-0230).

Location: 2 Executive Dr, Lafayette, IN, 47905-4859
institution
Provider Profile Details
NPI Number
1972685238
Provider Name
Lafayette Oral And Maxillofacial Surgery Group, P.c.
Credential
Provider Entity Type
Organization
Address
2 Executive Dr, Lafayette, IN, 47905-4859
Phone Number
765-807-0230
Fax Number
765-807-0234
Provider Enumeration Date
10/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
600000340871 01 IN ANTHEM BC/BS
institution
Provider Business Practice Location Address Details
Address
2 Executive Dr
City
State
Zip
47905-4859
Phone Number
765-807-0230
Fax Number
765-807-0234
person
Provider Business Mailing Address Details
Address
2 Executive Dr
City
State
Zip
47905-4859
Phone Number
765-807-0230
Fax Number
765-807-0234
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
1201055A (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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