Fishers Oral & Maxillofacial Surgery

NPI 1174534515 - Dentist - 1223S0112X

NPI Details
NPI 1174534515
Enumeration Date 08/10/2006
Last Updated 10/29/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MICHAEL D MICHAEL
Position PRESIDENT SURGEON
Phone (317) 849-3667
Fax (317) 849-3668
Practice Location
9126 TECHNOLOGY LN
STE 300
FISHERS IN, 46038-3064, US
Phone (317) 849-3667
Fax (317) 849-3668
Business Location
9126 TECHNOLOGY LN
STE 300
FISHERS IN, 46038-3064, US
Phone (317) 849-3667
Fax (317) 849-3668
Toxanomy
Taxonomy Code 1223S0112X
License State Indiana
License Number 12007758
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According to our database, Fishers Oral & Maxillofacial Surgery NPI is 1174534515, taxonomy code is 1223S0112X and license number is 12007758, license state is located at Indiana. Fishers Oral & Maxillofacial Surgery physically located at 9126 Technology Ln, Fishers IN, 46038-3064. NPI Number 1033115704 has the healthcare provider type.

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1174534515 NPI number is provided on an as is basis without warranty of any kind. 1174534515 is maintained by the National Plan & Provider Enumeration System. The contents of Fishers Oral & Maxillofacial Surgery are for informational purposes only.