# MARION ORAL & MAXILLOFACIAL SURGEONS, INC.

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

## Provider details

- **NPI number:** 1861604449
- **Authorized official:** DR. CHARLIE COX JR. D.D.S. (DOCTOR)
- **Authorized official phone:** (765) 664-1076

## Contact information

- **Practice address:** 702 N RIVER DR, MARION, IN 46952-2647
- **Practice address phone:** (765) 664-1076
- **Practice address fax:** (765) 668-4299
- **Mailing address:** 702 N RIVER DR, MARION, IN 46952-2647
- **Mailing address phone:** (765) 664-1076
- **Mailing address fax:** (765) 668-4299

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 12007459 | IN | Yes |

## Other

- **Enumeration date:** 05/04/2007
- **Last updated:** 07/02/2008