Organization
MARION ORAL & MAXILLOFACIAL SURGEONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLIE COX JR. D.D.S. (DOCTOR)
(765) 664-1076
Entity
Organization
Contact information
Practice address
702 N RIVER DR, MARION, IN 46952-2647
(765) 664-1076
(765) 668-4299
Mailing address
702 N RIVER DR, MARION, IN 46952-2647
(765) 664-1076
(765) 668-4299
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12007459
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100466560
—
IN
Enumeration date
05/04/2007
Last updated
07/02/2008
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