| Oral Surgery Group - Corydon Llc | |
|
2086 Old Hwy 135 Nw 1 Corydon IN 47112-4016 | |
| (502) 254-8500 | |
| Not Available |
| Full Name | Oral Surgery Group - Corydon Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2086 Old Hwy 135 Nw, Corydon, Indiana |
| Authorized Official Name and Position | Stephen C James (CFO) |
| Authorized Official Contact | 5022548500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral Surgery Group - Corydon Llc 2086 Old Hwy 135 Nw 1 Corydon IN 47112-4016 Ph: () - | Oral Surgery Group - Corydon Llc 2086 Old Hwy 135 Nw 1 Corydon IN 47112-4016 Ph: (502) 254-8500 |
| NPI Number | 1326572579 |
|---|---|
| Provider Enumeration Date | 04/14/2017 |
| Last Update Date | 04/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326572579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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