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Organization
ORAL SURGERY GROUP OF SOUTHERN INDIANA, LLC
Active
Organization
ORAL SURGERY GROUP OF SOUTHERN INDIANA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE JAMES (COO)
(502) 254-8504
Entity
Organization
Contact information
Practice address
2441 STATE ST, NEW ALBANY, IN 47150-4962
(812) 944-7200
Mailing address
PO BOX 437169, LOUISVILLE, KY 40253-7169
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/04/2008
Last updated
05/14/2013
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