South Central Oral & Maxillofacial Surgery, Llc in Bloomington - Oral And Maxillofacial Surgery
South Central Oral & Maxillofacial Surgery, Llc - NPI 1760461339
South Central Oral & Maxillofacial Surgery, Llc is a Oral And Maxillofacial Surgery in Bloomington, Indiana. South Central Oral & Maxillofacial Surgery, Llc practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for South Central Oral & Maxillofacial Surgery, Llc is 1760461339. The last update date is 2020-08-22.
South Central Oral & Maxillofacial Surgery, Llc's current location address is 2911 E Covenanter Dr, Bloomington, Indiana. You can contact this provider via phone number 8123332614 and fax number 8123334594. The mailing address for South Central Oral & Maxillofacial Surgery, Llc is 2911 E Covenanter Dr, Bloomington, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Central Oral & Maxillofacial Surgery, Llc |
|---|---|
| Address | 2911 E Covenanter Dr, Bloomington, Indiana |
| Phone Number | 8123332614 |
| Fax Number | 8123334594 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Pliske A Timothy |
| Credentials | DDS |
| Telephone Number | 8123332614 |
NPI Number Detail
| NPI Number | 1760461339 |
|---|---|
| Provider Enumeration Date | 2006-01-12 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2911 E Covenanter Dr |
|---|---|
| City | Bloomington |
| State | Indiana (IN) |
| Post Code | 474016320 |
| Phone Number | 8123332614 |
| Fax Number | 8123334594 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 12008000/120 |
|
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. |
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Post Comment/ Review Below
What is the unique identifier code issued to South Central Oral & Maxillofacial Surgery, Llc by the Centers for Medicare & Medicaid Services (CMS)?
The South Central Oral & Maxillofacial Surgery, Llc has been assigned the NPI (National Provider Identifier) 1760461339. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where South Central Oral & Maxillofacial Surgery, Llc is physically located?
The South Central Oral & Maxillofacial Surgery, Llc is physically situated at the following address: 2911 E Covenanter Dr, Bloomington, IN, 474016320.
What is the South Central Oral & Maxillofacial Surgery, Llc's area of specialization and corresponding taxonomy classification?
The South Central Oral & Maxillofacial Surgery, Llc's specialty field is Oral And Maxillofacial Surgery, and it falls under the taxonomy code 1223S0112X, which categorizes healthcare providers based on their specialties.
On what date did South Central Oral & Maxillofacial Surgery, Llc receive its 1760461339 assignment from the Centers for Medicare & Medicaid Services?
The South Central Oral & Maxillofacial Surgery, Llc was assigned its 1760461339 on 2006-01-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to South Central Oral & Maxillofacial Surgery, Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to South Central Oral & Maxillofacial Surgery, Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.