ORAL SURGERY OF INDIANA, LLC (NPI# 1376181347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376181347 |
| Entity Type | Organization |
| Organization Name | ORAL SURGERY OF INDIANA, LLC |
| Practice Address |
620 S Tillotson Ave Muncie IN 47304-4448 |
| Practice Telephone | 7706921000 |
| Mailing Telephone | 7706921000 |
| Enumeration Date | 2019-12-20 |
| Last Update Date | 2019-12-20 |
| Authorized Official Name | TAMONIA LEONARD (CREDENTAILING SPECIALIST) |
| Authorized Official Telephone | 6782444844 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities | ||
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| Street Address |
620 S TILLOTSON AVE |
| City | MUNCIE |
| State | IN |
| Zip Code | 47304-4448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407897523 | Anthony James Hornaday | Dentist | 620 S Tillotson Ave, Muncie, IN 47304-4448 | 2006-06-09 |
| 1235547498 | Anthony J. Hornaday, D.d.s. | Dentist | 620 S Tillotson Ave, Muncie, IN 47304-4448 | 2014-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821627191 | Free To Flourish Counseling and Consulting | Marriage & Family Therapist | 4304 W Coyote Run Court, Muncie, IN 47304 | 2020-04-07 |
| 1205477957 | Muncie Treatment Center, LLC | Clinic/Center | 3640 Briarwood Lane, Muncie, IN 47304 | 2019-10-03 |
| 1508415225 | Susanna Florence Nalliah I | Pharmacist | Iu Health Ball Memorial Hospital Inpatient Pharmacy, 2401 W. University Ave, Muncie, IN 47304 | 2019-09-05 |
| 1235624289 | Kregg Koons O.d., Inc. | Optometrist | 3300 Purdue Ave., Muncie, IN 47304 | 2018-06-22 |
| 1013409242 | Julia Powers | Social Worker | 8425 W Ashford Ln, Muncie, IN 47304 | 2018-06-04 |
| 1851803456 | Dianna Marie Johnson | Nurse Practitioner | 3411 N Briarwood Ln, Muncie, IN 47304 | 2017-11-04 |
| 1780082917 | Quad Med LLC | Clinic/Center | 3800 West Kilgore Ave, Muncie, IN 47304 | 2014-12-22 |
| 1629418173 | Mark Allen Wise | Physical Therapist | 3607 N Everbrook Lane, Muncie, IN 47304 | 2013-06-28 |
| 1396094280 | Planned Parenthood of Indiana Muncie | Clinic/Center | 3550 W. Fox Ridge Lane, Muncie, IN 47304 | 2012-09-06 |
| 1043595655 | Olukayode Bamidele | Physical Therapist | 3601 W. Moore Road, Muncie, IN 47304 | 2011-10-14 |
| Find all providers in zip 47304 | ||||
| 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 |
|---|---|---|---|---|
| 1407897523 | Anthony James Hornaday | Dentist | 620 S Tillotson Ave, Muncie, IN 47304-4448 | 2006-06-09 |
| 1235547498 | Anthony J. Hornaday, D.d.s. | Dentist | 620 S Tillotson Ave, Muncie, IN 47304-4448 | 2014-07-31 |
| 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.