ORAL AND MAXILLOFACIAL SURGERY CENTER OF LAFAYETTE


Address: 2020 Union Street, Suite 200, Lafayette, IN 47904
Phone: 7654468808

ORAL AND MAXILLOFACIAL SURGERY CENTER OF LAFAYETTE (NPI# 1154411163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154411163
Entity Type Organization
Organization Name ORAL AND MAXILLOFACIAL SURGERY CENTER OF LAFAYETTE
Practice Address 2020 Union Street
Suite 200
Lafayette
IN 47904
Practice Telephone 7654468808
Practice Fax Number 7654469567
Mailing Telephone 7654468808
Mailing Fax Number 7654469567
Enumeration Date 2006-10-13
Last Update Date 2009-02-27
Authorized Official Name COURTNEY A JAMES (OFFICE MANAGER)
Authorized Official Telephone 7654468808
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
Dental Providers

Office Location

Street Address 2020 UNION STREET
SUITE 200
City LAFAYETTE
State IN
Zip Code 47904

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700976719 Michael Leonard Bagnoli Dentist 2020 Union Street, Suite 200, Lafayette, IN 47904 2006-10-13
1780824433 Joel R Dragoo Dentist 2020 Union Street, Suite 200, Lafayette, IN 47904 2009-02-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568998615 Angela Hands Physical Therapy Assistant 1260 North 17th Street, Lafayette, IN 47904 2017-05-11
1366894164 Kathryn Barnett Behavioral Analyst 2785 Cason St # 2, Lafayette, IN 47904 2016-07-06
1881972917 Rest Assured, LLC Durable Medical Equipment & Medical Supplies 180 Professional Ct., Lafayette, IN 47904 2011-07-22
1144514233 Michelle Cristin Singleton Dietitian, Registered 508 N 26th St, Lafayette, IN 47904 2011-06-06
1912134438 Jean D Trammel Marriage & Family Therapist 2000 Greenburg St, Bldg B, Suite A, Lafayette, IN 47904 2009-06-11
1902946056 Terry Richard Baker Optometrist 2300 Sagamore Parkway S, Lafayette, IN 47904 2007-02-07
1891862165 Becki A Bowditch Inc Social Worker 2201 Ferry Street, Lafayette, IN 47904 2006-11-29
1326121849 James Lowell Thomas Pediatrics 2300 Ferry St, Lafayette, IN 47904 2006-10-21
1255428801 Lynn Arlen Pestle Dentist 2550 Elmwood Avenue, Lafayette, IN 47904 2006-10-06
1609968254 Greater Lafayette Health Services Clinic/Center 1000 North 18th Street, Lafayette, IN 47904 2006-09-29
Find all providers in zip 47904

Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy 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.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346868676 Cypress Bend Oral & Maxillofacial Surgery Dentist 106 Rue Bastille, Lafayette, LA 70508 2020-07-13
1578089603 Ardoin-kennedy LLC Dentist 203 A Energy Parkway, Lafayette, LA 70508 2017-08-21
1154864106 Coal Creek Oral Surgery and Dental Implant Center, Pllc Dentist 1771 Cherokee Trl, Lafayette, CO 80026-7088 2016-11-23
1063629988 Brett A Henrikson Dentist 2 Executive Dr Ste A, Lafayette, IN 47905-4859 2007-05-17
1316169030 Hiram A. Mcconnell Dentist 1231 Coolidge Blvd, Lafayette, LA 70503-2620 2007-05-03
1861523441 Bruce A Schneider Dentist 117 Rue Fontaine, Lafayette, LA 70508-5744 2007-03-08
1700976719 Michael Leonard Bagnoli Dentist 2020 Union Street, Suite 200, Lafayette, IN 47904 2006-10-13
1093808594 Keith R. Gronbach, D.d.s., Inc. Dentist 3799 Mt Diablo Blvd, Lafayette, CA 94549-3538 2006-10-02
1104920453 Christian Matthew Steffey Dentist 2020 Union St Ste 200, Lafayette, IN 47904-2694 2006-09-08
1780600031 Mark Alan Welch Dentist 200 Republic Ave, I, Lafayette, LA 70508-6826 2006-07-13
Find all providers in LAFAYETTE

Competitor

Search similar providers

City LAFAYETTE
Zip Code 47904

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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