Bloomington Oral & Maxillofacial Surgery Group in Bloomington - Oral & Maxillofacial Surgery
Bloomington Oral & Maxillofacial Surgery Group - NPI 1386762318
Bloomington Oral & Maxillofacial Surgery Group is a Oral & Maxillofacial Surgery in Bloomington, Indiana. Bloomington Oral & Maxillofacial Surgery Group practices all healthcare services and medical treatments related to Oral & Maxillofacial Surgery. The NPI Number for Bloomington Oral & Maxillofacial Surgery Group is 1386762318. The last update date is 2020-08-22.
Bloomington Oral & Maxillofacial Surgery Group's current location address is 637 S Walker Street, Bloomington, Indiana. You can contact this provider via phone number 8123239700 and fax number 8123239701. The mailing address for Bloomington Oral & Maxillofacial Surgery Group is 637 S Walker Street, Bloomington, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bloomington Oral & Maxillofacial Surgery Group |
|---|---|
| Address | 637 S Walker Street, Bloomington, Indiana |
| Phone Number | 8123239700 |
| Fax Number | 8123239701 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DOCTOR PRE |
|---|---|
| Authorized Official Name | Tate E Scott |
| Credentials | DDS MS |
| Telephone Number | 8123239700 |
NPI Number Detail
| NPI Number | 1386762318 |
|---|---|
| Provider Enumeration Date | 2007-03-27 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 637 S Walker Street |
|---|---|
| City | Bloomington |
| State | Indiana (IN) |
| Post Code | 474032154 |
| Phone Number | 8123239700 |
| Fax Number | 8123239701 |
Provider's Primary Taxonomy Detail
| Speciality | Oral & Maxillofacial Surgery |
|---|---|
| Taxonomy | 204E00000X |
| Licence No | IN12010196A |
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Definition: Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer |
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Post Comment/ Review Below
What is the Bloomington Oral & Maxillofacial Surgery Group's 1386762318?
The Bloomington Oral & Maxillofacial Surgery Group's NPI (National Provider Identifier) Number is 1386762318. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Bloomington Oral & Maxillofacial Surgery Group is physically located?
The Bloomington Oral & Maxillofacial Surgery Group is physically situated at the following address: 637 S Walker Street, Bloomington, IN, 474032154.
What is Bloomington Oral & Maxillofacial Surgery Group's area of expertise and its corresponding taxonomy classification?
The Bloomington Oral & Maxillofacial Surgery Group's field of specialization is Oral & Maxillofacial Surgery, and it falls under the taxonomy code 204E00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Bloomington Oral & Maxillofacial Surgery Group receive its 1386762318 assignment from the Centers for Medicare & Medicaid Services?
The Bloomington Oral & Maxillofacial Surgery Group was assigned its 1386762318 by the Centers for Medicare & Medicaid Services on 2007-03-27.
As of what date were the details related to Bloomington Oral & Maxillofacial Surgery Group most recently updated or revised?
The information pertaining to Bloomington Oral & Maxillofacial Surgery Group, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC