| Fishers Oral & Maxillofacial Surgery | |
|
9126 Technology Ln Ste 300 Fishers IN 46038-3064 | |
| (317) 849-3667 | |
| (317) 849-3668 |
| Full Name | Fishers Oral & Maxillofacial Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 9126 Technology Ln, Fishers, Indiana |
| Authorized Official Name and Position | Michael D Bennett (PRESIDENT SURGEON) |
| Authorized Official Contact | 3178493667 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fishers Oral & Maxillofacial Surgery 9126 Technology Ln Ste 300 Fishers IN 46038-3064 Ph: (317) 849-3667 | Fishers Oral & Maxillofacial Surgery 9126 Technology Ln Ste 300 Fishers IN 46038-3064 Ph: (317) 849-3667 |
| NPI Number | 1174534515 |
|---|---|
| Provider Enumeration Date | 08/10/2006 |
| Last Update Date | 10/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174534515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 12007758 (Indiana) | Primary |
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