Organization
NOBLESVILLE ORAL & MAXILLOFACIAL SURGERY, PROFESSIONAL CORPORATION
Active
Other names
Christopher W. Potee, DDS
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH MOORE (OFFICE MANAGER)
(317) 776-0105
Entity
Organization
Contact information
Practice address
340 LOGAN ST, NOBLESVILLE, IN 46060-1432
(317) 776-0105
(317) 776-0348
Mailing address
340 LOGAN ST, NOBLESVILLE, IN 46060-1432
(317) 776-0105
(317) 776-0348
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12009261
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200212660
—
IN
Enumeration date
05/10/2007
Last updated
11/25/2008
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