EAST CENTRAL INDIANA ORAL AND MAXILLOFACIAL SURGERY, LLC


Address: 3895 N Wheeling Ave, Muncie, IN 47304-1776
Phone: 7652811131

EAST CENTRAL INDIANA ORAL AND MAXILLOFACIAL SURGERY, LLC (NPI# 1720330004) 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) 1720330004
Entity Type Organization
Organization Name EAST CENTRAL INDIANA ORAL AND MAXILLOFACIAL SURGERY, LLC
Practice Address 3895 N Wheeling Ave
Muncie
IN 47304-1776
Practice Telephone 7652811131
Mailing Telephone 7652811131
Enumeration Date 2012-10-10
Last Update Date 2012-10-10
Authorized Official Name DR. HARRY PAPADOPOULOS (PRACTICE CO-OWNER)
Authorized Official Telephone 7652811131
Authorized Official Credential DDS, MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QS0112X Clinic/Center
Specialization: Oral and Maxillofacial Surgery
12010966A IN Ambulatory Health Care Facilities
Y 261QS0112X Clinic/Center
Specialization: Oral and Maxillofacial Surgery
12008702A IN Ambulatory Health Care Facilities

Office Location

Street Address 3895 N WHEELING AVE
City MUNCIE
State IN
Zip Code 47304-1776

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790337020 Clear Chiropractic Muncie, LLC Chiropractor 3895 N Wheeling Ave, Muncie, IN 47304-1776 2019-07-16
1336538560 Michael Joseph Jobe Chiropractor 3895 N Wheeling Ave, Muncie, IN 47304-1776 2015-01-12

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QS0112X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
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 state

NPI Name Taxonomy Address Enumeration
1740548015 Benson Oral Surgery and Dental Implants, LLC Clinic/Center 8809 W 400 N, Suite 2, Michigan City, IN 46360-9330 2012-04-24
1891063368 Cameron Conkin Dds, Oral and Maxillofacial Surgeon, LLC Clinic/Center 8101 Shelby St, Ste A, Indianapolis, IN 46227-6224 2011-12-12
1073819041 Allan L. Reid Psc Clinic/Center 4828 Lincoln Ave, Evansville, IN 47715-4110 2011-02-08
1881887065 Edison Lakes Oral Surgery, P.C. Clinic/Center 270 E Day Rd, Suite 260, Mishawaka, IN 46545-3444 2007-08-22
1346309374 Kokomo Oral and Maxillofacial Surgery P.C. Clinic/Center 2705 S Berkley Rd, Suite 4d, Kokomo, IN 46902-8025 2006-12-06

Competitor

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City MUNCIE
Zip Code 47304

Improve Information

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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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