Active NPI
In Oral and Facial Surgery
- Oral and Maxillofacial Surgery (Dentist)
- Indianapolis, IN
National Provider Identifier
1265222103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- Legal business name
- IN ORAL AND FACIAL SURGERY
- Practice address
- 1320 N Post Rd
Indianapolis, IN 46219-4210 - Phone
- (317) 898-2555
- NPI assigned
- May 12, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jackie Holloway
- Title
- Director of RCM
- Phone
- (854) 200-7970
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | Primary |
Addresses
Primary practice location
1320 N Post Rd
Indianapolis, IN 46219-4210
Mailing address
3700 Ingleside Blvd
Ladson, SC 29456-4141
Other names 1
- Indianapolis Oral Surgery and Dental Implant Center
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Oral and Maxillofacial Surgery (Dentist)
- Indianapolis, IN
- NPI 1548228513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747008000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747008000000",
"number": "1265222103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 INGLESIDE BLVD",
"city": "LADSON",
"state": "SC",
"postal_code": "294564141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 N POST RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194210",
"telephone_number": "317-898-2555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IN ORAL AND FACIAL SURGERY",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-12",
"last_updated": "2025-05-12",
"certification_date": "2025-05-12",
"status": "A",
"authorized_official_last_name": "HOLLOWAY",
"authorized_official_first_name": "JACKIE",
"authorized_official_title_or_position": "DIRECTOR OF RCM",
"authorized_official_telephone_number": "854-200-7970"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Indianapolis Oral Surgery and Dental Implant Center",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.