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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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