Organization
COLLEGE PARK ORAL & MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J HAROLD SMITH II DDS (PRESIDENT)
(317) 872-7777
Entity
Organization
Contact information
Practice address
3677 W 86TH STREET, INDIANAPOLIS, IN 46268-1902
(317) 872-7777
(317) 872-3174
Mailing address
3677 W 86TH STREET, INDIANAPOLIS, IN 56268-1902
(317) 872-7777
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
IN
Other
Enumeration date
10/12/2006
Last updated
08/22/2020
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