Terre Haute Oral & Maxillofacial Surgery - Dental Clinic in Terre Haute, IN

Terre Haute Oral & Maxillofacial Surgery is a dental clinic (Dentist - Oral And Maxillofacial Surgery) in Terre Haute, Indiana. The current practice location for Terre Haute Oral & Maxillofacial Surgery is 3630 S 4th St, Terre Haute, Indiana. For appointments, you can reach them via phone at (317) 373-4164. The mailing address for Terre Haute Oral & Maxillofacial Surgery is 3630 S 4th St, Terre Haute, Indiana and phone number is () -.

Terre Haute Oral & Maxillofacial Surgery is licensed to practice in Indiana (license number 12010748A) and its NPI number is 1487032538. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (317) 373-4164.

Contact Information

Terre Haute Oral & Maxillofacial Surgery
3630 S 4th St
Terre Haute
IN 47802-5543
(317) 373-4164
Not Available

Dental Care Clinic Profile

Full NameTerre Haute Oral & Maxillofacial Surgery
SpecialityDentist - Oral And Maxillofacial Surgery
Location3630 S 4th St, Terre Haute, Indiana
Authorized Official Name and PositionRuth Lee (OFFICE MANAGER)
Authorized Official Contact3173734164
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Terre Haute Oral & Maxillofacial Surgery
3630 S 4th St
Terre Haute
IN 47802-5543

Ph: () -
Terre Haute Oral & Maxillofacial Surgery
3630 S 4th St
Terre Haute
IN 47802-5543

Ph: (317) 373-4164

NPI Details:

NPI Number1487032538
Provider Enumeration Date05/09/2015
Last Update Date05/09/2015

Medical Identifiers

Medical identifiers for Terre Haute Oral & Maxillofacial Surgery such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487032538NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223S0112XDentist - Oral And Maxillofacial Surgery 12010748A (Indiana)Primary
1223S0112XDentist - Oral And Maxillofacial Surgery 12010652A (Indiana)Secondary
1223S0112XDentist - Oral And Maxillofacial Surgery 12011416A (Indiana)Secondary

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