# GARRISON & PARTRIDGE NORTHEAST ORAL AND MAXILLOF

> 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
- **Other names:** Northeast Oral & Maxillofacial Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679746580
- **Authorized official:** MRS. WENDY S BEARD (OFFICE MANAGER)
- **Authorized official phone:** (317) 841-1100

## Contact information

- **Practice address:** 9860 WESTPOINT DRIVE, SUITE 100, INDIANAPOLIS, IN 46256-3398
- **Practice address phone:** (317) 841-1100
- **Practice address fax:** (317) 841-2200
- **Mailing address:** 9860 WESTPOINT DRIVE, SUITE 100, INDIANAPOLIS, IN 46256-3398
- **Mailing address phone:** (317) 841-1100
- **Mailing address fax:** (317) 841-2200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 12007989A | IN | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 12007989B | IN | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 12010961A | IN | — |

## Other

- **Enumeration date:** 04/11/2008
- **Last updated:** 02/12/2010