MARION ORAL & MAXILLOFACIAL SURGERY, LLC (NPI# 1609346949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609346949 |
| Entity Type | Organization |
| Organization Name | MARION ORAL & MAXILLOFACIAL SURGERY, LLC |
| Practice Address |
702 N River Dr Marion IN 46952-2647 |
| Mailing Address |
11555 Belmont Ct Carmel IN 46032-8680 |
| Practice Telephone | 7656641076 |
| Mailing Telephone | 3174531980 |
| Enumeration Date | 2018-11-29 |
| Last Update Date | 2018-11-29 |
| Authorized Official Name | DR. HARRY PAPADOPOULOS (PRACTICE CO-OWNER) |
| Authorized Official Telephone | 3174531980 |
| Authorized Official Credential | DDS, MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| Street Address |
702 N RIVER DR |
| City | MARION |
| State | IN |
| Zip Code | 46952-2647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861604449 | Marion Oral & Maxillofacial Surgeons, Inc. | Dentist | 702 N River Dr, Marion, IN 46952-2647 | 2007-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982245874 | John Robert Searfoss Sr. | Counselor | 314 S Norton Ave., Marion, IN 46952 | 2019-10-02 |
| 1063069755 | Andrea Marie Brown | Behavior Technician | 2315 W 2nd St, Marion, IN 46952 | 2019-08-19 |
| 1548767767 | Johnnie Micheal Hiles | Counselor | 315 South Norton Ave., Marion, IN 46952 | 2018-04-13 |
| 1669979936 | Sheila Ann Johnson | Counselor | 315 S. Norton Ave, Marion, IN 46952 | 2018-04-12 |
| 1679070957 | Marissa Lynn Castillo | Counselor | 315 S Norton Avenue, Marion, IN 46952 | 2018-04-12 |
| 1326545609 | Eumalla Lampkins | Case Manager/Care Coordinator | 315 South Norton Avenue, Marion, IN 46952 | 2018-04-12 |
| 1285011650 | Forefront Dermatology, S.c. | Dermatology | 330 N Wabash Ave Ste 360, Marion, IN 46952 | 2015-05-05 |
| 1649510959 | Cancer Services of Grant County Inc. | Prosthetic/Orthotic Supplier | 305 S. Norton Ave., Marion, IN 46952 | 2013-02-22 |
| 1326350844 | Beth Ellen Krouse | Speech-Language Pathologist | 1800 Wabash Ave, Suite 200, Marion, IN 46952 | 2010-07-13 |
| 1093032138 | Thomas Alfred Beck | General Practice | 919 Euclid Avenue, Marion, IN 46952 | 2010-04-29 |
| Find all providers in zip 46952 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861604449 | Marion Oral & Maxillofacial Surgeons, Inc. | Dentist | 702 N River Dr, Marion, IN 46952-2647 | 2007-05-04 |
| 1114141793 | Jason P Yanich | Dentist | 1456 Marion Waldo Rd, Marion, OH 43302-7422 | 2007-04-12 |
| 1366551434 | Bernard B Dreiman | Dentist | 1612 N Baldwin Ave, Marion, IN 46952-1872 | 2006-08-30 |
| 1679532550 | Matthew James Bronk | Dentist | 2218 Rutherford Rd Ste B, Marion, NC 28752 | 2006-03-21 |
| 1497927081 | Oral & Maxillofacial Surgery Centers Inc | Dentist | 1456 Marion Waldo Rd, Marion, OH 43302-7422 | 2008-03-24 |
| 1386714996 | Appalachian Oral & Maxillofacial Surgery Ltd | Dentist | 645 Park Blvd, Marion, VA 24354-4223 | 2006-11-09 |
| 1235248329 | Oral and Maxillofacial Surgery, P.C. | Dentist | 1612 N Baldwin Ave, Marion, IN 46952-1872 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063918746 | Robinpreet Singh Pannu | Dentist | 550 University Blvd Ste 3195, Indianapolis, IN 46202-5149 | 2018-04-02 |
| 1912435843 | Advanced Family Dentistry | Dentist | 9845 E 116th St Ste 400, Fishers, IN 46037-9236 | 2017-05-23 |
| 1093250151 | Ruckman Oral Surgery and Implant Center LLC | Dentist | 9901 Auburn Rd, Fort Wayne, IN 46825-2345 | 2016-12-28 |
| 1992159552 | Kokomo Implant and Oral Surgery, LLC | Dentist | 2008 West Sycamore Street, Kokomo, IN 46901-4112 | 2016-04-20 |
| 1659752335 | Yusif Umar | Dentist | 550 University Blvd # Uh3145, Indianapolis, IN 46202-5149 | 2015-06-17 |
| 1154710267 | Lawrence G. Falender Dds PC | Dentist | 1320 N Post Rd, Indianapolis, IN 46219-4210 | 2015-01-13 |
| 1568878270 | Austin Starr | Dentist | 473 S Landmark Ave, Bloomington, IN 47403-5005 | 2014-07-02 |
| 1144668989 | Timothy William Surber | Dentist | 5701 Brownstone Dr, Indianapolis, IN 46220-5851 | 2013-06-13 |
| 1396189387 | Intp Dental PC | Dentist | 8555 River Rd Ste 180, Indianapolis, IN 46240-4311 | 2013-04-22 |
| 1932440054 | John Joseph Schier Jr. | Dentist | 3021 E 98th St Ste 250, Indianapolis, IN 46280-2908 | 2013-03-14 |
| Find all providers with the same taxonomy | ||||
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| 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.