# ORAL SURGERY OFFICE LLC

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

## Provider details

- **NPI number:** 1881696847
- **Authorized official:** DR. DAVID BRIAN COATES D.D.S. (CO-OWNER)
- **Authorized official phone:** (765) 447-0525

## Contact information

- **Practice address:** 2204 SCOTT ST, LAFAYETTE, IN 47904-2933
- **Practice address phone:** (765) 447-0525
- **Practice address fax:** (765) 447-5815
- **Mailing address:** 2204 SCOTT ST, LAFAYETTE, IN 47904-2933
- **Mailing address phone:** (765) 447-0525
- **Mailing address fax:** (765) 447-5815

## Taxonomy

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

## Other

- **Enumeration date:** 06/02/2005
- **Last updated:** 07/21/2022