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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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