Organization
GARRISON & PARTRIDGE NORTHEAST ORAL AND MAXILLOF
Active
Other names
Northeast Oral & Maxillofacial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WENDY S BEARD (OFFICE MANAGER)
(317) 841-1100
Entity
Organization
Contact information
Practice address
9860 WESTPOINT DRIVE, SUITE 100, INDIANAPOLIS, IN 46256-3398
(317) 841-1100
(317) 841-2200
Mailing address
9860 WESTPOINT DRIVE, SUITE 100, INDIANAPOLIS, IN 46256-3398
(317) 841-1100
(317) 841-2200
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
12007989A
IN
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12007989B
IN
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
12010961A
IN
Other
Enumeration date
04/11/2008
Last updated
02/12/2010
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