# COLUMBUS ORAL & MAXILLOFACIAL SURGERY PSC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1629134515
- **Authorized official:** BARBARA KAISER (OFFICE MANAGER)
- **Authorized official phone:** (812) 372-7312

## Contact information

- **Practice address:** 2350 NORTHPARK, COLUMBUS, IN 47203-4466
- **Practice address phone:** (812) 372-7312
- **Practice address fax:** (812) 378-9451
- **Mailing address:** 2350 NORTHPARK, COLUMBUS, IN 47203-4466
- **Mailing address phone:** (812) 372-7312
- **Mailing address fax:** (812) 378-9451

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 54000102A | IN | Yes |

## Other

- **Enumeration date:** 12/28/2006
- **Last updated:** 04/10/2008