# ORAL SURGERY GROUP OF EVANSVILLE, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Troyer & Altekruse DDS, Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467506188
- **Authorized official:** MS. KAREN L KELLAMS (PRACTICE MANAGER)
- **Authorized official phone:** (812) 425-5194

## Contact information

- **Practice address:** 550 W VIRGINIA ST, EVANSVILLE, IN 47710-1614
- **Practice address phone:** (812) 425-5194
- **Practice address fax:** (812) 426-9984
- **Mailing address:** 550 W VIRGINIA ST, EVANSVILLE, IN 47710-1614
- **Mailing address phone:** (812) 425-5194
- **Mailing address fax:** (812) 426-9984

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 54000277A | IN | Yes |

## Other

- **Enumeration date:** 01/22/2007
- **Last updated:** 08/22/2020