# CARMEL ORAL & MAXILLOFACIAL SURGERY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Carmel Oral Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013171594
- **Authorized official:** STANLEY C. JACHIMOWICZ DDS (PRESIDENT)
- **Authorized official phone:** (317) 844-7626

## Contact information

- **Practice address:** 13590B N MERIDIAN ST, SUITE 105, CARMEL, IN 46032-1456
- **Practice address phone:** (317) 844-7626
- **Practice address fax:** (317) 844-3804
- **Mailing address:** 13590B N MERIDIAN ST, SUITE 105, CARMEL, IN 46032-1406
- **Mailing address phone:** (317) 844-7626
- **Mailing address fax:** (317) 844-3804

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 12009721A | IN | Yes |

## Other

- **Enumeration date:** 07/15/2008
- **Last updated:** 07/15/2008