ANDERSON ORAL AND MAXILLOFACIAL SURGERY (NPI# 1891172797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891172797 |
| Entity Type | Organization |
| Organization Name | ANDERSON ORAL AND MAXILLOFACIAL SURGERY |
| Other Organization Name | AOMS,LLC |
| Practice Address |
1601 Medical Arts Blvd Suite 3 Anderson IN 46011-3458 |
| Mailing Address |
Po Box 6268 Fishers IN 46038-6268 |
| Practice Telephone | 7652984400 |
| Mailing Telephone | 3178411100 |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2015-04-29 |
| Authorized Official Name | DR. CORBIN G PARTRDIGE (OWNER) |
| Authorized Official Telephone | 3178411100 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| Other Name | Type Code |
|---|---|
| AOMS,llc | Doing Business As Name - Organization |
| Street Address |
1601 MEDICAL ARTS BLVD SUITE 3 |
| City | ANDERSON |
| State | IN |
| Zip Code | 46011-3458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952305419 | Richard Kelly Chambers | Internal Medicine | 1601 Medical Arts Blvd, Suite 203, Anderson, IN 46011-3459 | 2005-06-11 |
| 1265045967 | Haley Ruth Slusher | Dietitian, Registered | 1601 Medical Arts Blvd, Anderson, IN 46011-3458 | 2020-08-24 |
| 1285269977 | Joanna Louise Horsman | Nurse Practitioner | 1601 Medical Arts Blvd, Anderson, IN 46011-3458 | 2020-03-03 |
| 1437678372 | Jessica Mckinney | Pharmacist | 1601 Medical Arts Blvd, Anderson, IN 46011-3458 | 2017-09-12 |
| 1285178988 | Andrew Rider | Social Worker | 1601 Medical Arts Blvd, Ste 203, Anderson, IN 46011-3458 | 2016-12-14 |
| 1760924260 | Tyler Madere | Pharmacist | 1601 Medical Arts Blvd, Suite 203, Anderson, IN 46011-3458 | 2016-11-15 |
| 1154735223 | Connect Hearing, Inc. | Audiologist | 1601 Medical Arts Blvd, Ste 50, Anderson, IN 46011-3458 | 2014-06-17 |
| 1487080644 | Jessica Marshall | Nurse Practitioner | 1601 Medical Arts Blvd, Suite 201, Anderson, IN 46011-3458 | 2013-09-19 |
| 1427480466 | Julia Anne St Clair | Nurse Practitioner | 1601 Medical Arts Blvd, Suite 102, Anderson, IN 46011-3458 | 2013-08-01 |
| 1104268432 | Kendra A Misbach | Nurse Practitioner | 1601 Medical Arts Blvd, Ste 102, Anderson, IN 46011-3434 | 2013-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124662226 | Full Circle Family Solutions, LLC | Counselor | 909 Northwood Drive, Anderson, IN 46011 | 2019-10-31 |
| 1497186563 | Andrea C Rich | Social Worker | 1317 Winding Way, Anderson, IN 46011 | 2013-11-27 |
| 1093080848 | Franklin Keith Beeler | Family Medicine | 930 Summerlin Court, Anderson, IN 46011 | 2012-03-13 |
| 1063609642 | Christopher Place At Keystone Woods Associates, LLC | Assisted Living Facility | 2334 North Madison Ave, Anderson, IN 46011 | 2007-09-27 |
| 1720155187 | Garry L Smith Dds PC | Dentist | 1528 Medical Arts Blvd, Anderson, IN 46011 | 2006-11-29 |
| 1891711586 | Suzanne Obrien Beeson | Psychologist | 1210 Medical Arts. Blvd., Suite 208, Anderson, IN 46011 | 2006-07-14 |
| 1669471199 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 1809 N Madison Ave, Anderson, IN 46011 | 2005-07-18 |
| 1265980742 | Andrew J Koehler | Counselor | 2010 Brentwood Dr, Anderson, IN 46011 | 2016-09-14 |
| 1902258866 | Audrey A. Dickerson | Physician Assistant | 1515 N Madison Ave, Anderson, IN 46011 | 2016-07-05 |
| 1104271790 | Mohammad Sami Bakdash | Internal Medicine | 1515 N Madison Ave, Anderson, IN 46011 | 2016-05-02 |
| Find all providers in zip 46011 | ||||
| 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 |
|---|---|---|---|---|
| 1598173627 | Blue Ridge Oral and Maxillofacial Surgery Pa | Dentist | 209 E Highland Ave, Anderson, SC 29621-4711 | 2014-08-01 |
| 1134549629 | Foothills Oral & Facial Surgery | Dentist | 301 W Beltline Blvd, #301, Anderson, SC 29625-1505 | 2014-04-23 |
| 1326173428 | Anderson Oral and Maxillofacial Surgery, Pa | Dentist | 1209 Ella Street, Anderson, SC 29621 | 2007-02-22 |
| 1003978586 | Chris D Kinney | Dentist | 3825 Fairview Dr, Anderson, IN 46013 | 2006-12-14 |
| 1568538098 | Oral and Maxillofacial Surgery of Anderson,llc | Dentist | 1514 North Fant Street, Anderson, SC 29621-4708 | 2006-11-27 |
| 1164492104 | Shad Demar Roundy | Dentist | 1601 Medical Arts Blvd Ste 301, Anderson, IN 46011-3460 | 2006-01-24 |
| 1225011323 | Lewis Tyler Sumner | Dentist | 1209 Ella St, Anderson, SC 29621-4811 | 2005-11-22 |
| 1457628711 | Chris D. Kinney, D.d.s. P.C. | Dentist | 3825 Fairview Dr, Anderson, IN 46013-4059 | 2011-11-30 |
| 1649316241 | William S. Dunlap Jr. | Dentist | 1514 North Fant Street, Anderson, SC 29621-4708 | 2007-01-30 |
| 1740386242 | Howard H. Mohler Dds Inc | Dentist | 1601 Medical Arts Blvd, Suite 301, Anderson, IN 46011-3458 | 2006-09-15 |
| Find all providers in ANDERSON | ||||
Please comment or provide details below to improve the information on ANDERSON ORAL AND MAXILLOFACIAL SURGERY.
| 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.