Organization
STUART ORAL SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD JOSEPH STUART III DDS (OWNER)
(317) 752-8857
Entity
Organization
Contact information
Practice address
8240 NAAB RD STE 355, INDIANAPOLIS, IN 46260-1987
(317) 876-1095
Mailing address
9499 ABERDARE DR, INDIANAPOLIS, IN 46250-3406
(317) 752-8857
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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