# STARR ORAL & MAXILLOFACIAL SURGERY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Starr Oral Surgery, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356978753
- **Authorized official:** DR. AUSTIN C. STARR DDS (ORAL & MAXILLOFACIAL SURGEON)
- **Authorized official phone:** (812) 318-1023

## Contact information

- **Practice address:** 473 S LANDMARK AVE, BLOOMINGTON, IN 47403-5005
- **Practice address phone:** (812) 318-1023
- **Mailing address:** 473 S LANDMARK AVE, BLOOMINGTON, IN 47403-5005
- **Mailing address phone:** (812) 318-1023
- **Mailing address fax:** (812) 318-1643

## Taxonomy

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

## Other

- **Enumeration date:** 03/25/2020
- **Last updated:** 06/22/2020