# MONESMITH & WOOD ORAL AND MAXILLOFACIAL SURGERY PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Matthew B Monesmith DDS PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205854791
- **Authorized official:** DR. MATTHEW BRIAN MONESMITH DDS (PRESIDENT ORAL SURGEON)
- **Authorized official phone:** (812) 482-2280

## Contact information

- **Practice address:** 2005 ST CHARLES STREET, SUITE 2, JASPER, IN 47546-9146
- **Practice address phone:** (812) 482-2280
- **Practice address fax:** (812) 482-4218
- **Mailing address:** 2005 ST CHARLES STREET, SUITE 2, JASPER, IN 47546-9146
- **Mailing address phone:** (812) 482-2280
- **Mailing address fax:** (812) 482-4218

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 12009137 | IN | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 12009891A | IN | — |

## Other

- **Enumeration date:** 07/17/2006
- **Last updated:** 08/22/2020