Marion Oral & Maxillofacial Surgeons, Inc. | |
702 N River Dr Marion IN 46952-2647 | |
(765) 664-1076 | |
(765) 668-4299 |
Full Name | Marion Oral & Maxillofacial Surgeons, Inc. |
---|---|
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 702 N River Dr, Marion, Indiana |
Authorized Official Name and Position | Charlie Cox (DOCTOR) |
Authorized Official Contact | 7656641076 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Marion Oral & Maxillofacial Surgeons, Inc. 702 N River Dr Marion IN 46952-2647 Ph: (765) 664-1076 | Marion Oral & Maxillofacial Surgeons, Inc. 702 N River Dr Marion IN 46952-2647 Ph: (765) 664-1076 |
NPI Number | 1861604449 |
---|---|
Provider Enumeration Date | 05/04/2007 |
Last Update Date | 07/02/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861604449 | NPI | - | NPPES |
100466560 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 12007459 (Indiana) | Primary |
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