# COLLEGE PARK ORAL & MAXILLOFACIAL SURGERY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043309719
- **Authorized official:** DR. J HAROLD SMITH II DDS (PRESIDENT)
- **Authorized official phone:** (317) 872-7777

## Contact information

- **Practice address:** 3677 W 86TH STREET, INDIANAPOLIS, IN 46268-1902
- **Practice address phone:** (317) 872-7777
- **Practice address fax:** (317) 872-3174
- **Mailing address:** 3677 W 86TH STREET, INDIANAPOLIS, IN 56268-1902
- **Mailing address phone:** (317) 872-7777

## Taxonomy

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

## Other

- **Enumeration date:** 10/12/2006
- **Last updated:** 08/22/2020