# INDIANA CENTER FOR SURGICAL ARTS

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

## Provider details

- **NPI number:** 1144676123
- **Authorized official:** DR. DAVID MICHAEL MONTES DDS (SOLE PROPRIETOR)
- **Authorized official phone:** (317) 257-5442

## Contact information

- **Practice address:** 6117 N COLLEGE AVE, SUITE 4, INDIANAPOLIS, IN 46220-2233
- **Practice address phone:** (317) 257-5442
- **Mailing address:** 6117 N COLLEGE AVE, SUITE 4, INDIANAPOLIS, IN 46220-2233
- **Mailing address phone:** (317) 257-5442
- **Mailing address fax:** (317) 203-1113

## Taxonomy

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

## Other

- **Enumeration date:** 05/10/2016
- **Last updated:** 05/10/2016