# IPG ORAL SURGERY LLP

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

## Provider details

- **NPI number:** 1730906454
- **Authorized official:** APRIL L MILLER (EXECUTIVE DIRECTOR OF REVENUE CYCLE)
- **Authorized official phone:** (724) 357-7009

## Contact information

- **Practice address:** 841 HOSPITAL RD STE 3300, INDIANA, PA 15701-3620
- **Practice address phone:** (888) 452-4762
- **Mailing address:** 640 KOLTER DR, INDIANA, PA 15701-3570
- **Mailing address phone:** (724) 357-7333
- **Mailing address fax:** (724) 357-7279

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | NULL | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | — | Yes |

## Other

- **Enumeration date:** 09/24/2024
- **Last updated:** 10/08/2024