Avon Oral & Maxillofacial Surgery LLP

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

AVON ORAL & MAXILLOFACIAL SURGERY LLP

Practice address

6695 E US Highway 36
Avon, IN 46123-8923

Phone

(317) 272-2200

Fax

(317) 272-3714

NPI assigned

Jun 1, 2006

Last updated

Aug 20, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kim Kingery

Title

Office Manager

Phone

(317) 272-2200

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Edward Sexton, D.D.S

  • Oral and Maxillofacial Surgery (Dentist)
  • Avon, IN
  • NPI 1336149236
  NPD (past)
• Scott Eric Tate, DDS, MS

  • Oral and Maxillofacial Surgery (Dentist)
  • South Bend, IN
  • NPI 1528166097
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1265479737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6695 E US HIGHWAY 36",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461238923",
            "telephone_number": "317-272-2200",
            "fax_number": "317-272-3714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6695 E US HIGHWAY 36",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461238923",
            "telephone_number": "317-272-2200",
            "fax_number": "317-272-3714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVON ORAL & MAXILLOFACIAL SURGERY LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "KINGERY",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "317-272-2200"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200298930A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Avon Christian Counseling Center
• Avon Community School Corporation
• Avon Community Schools Wellness Clinic
• Avon Dental Centre
• Avon Marketplace ASC, LLC (West Indy Surgery Center)
• Avon Orthotics & Prosthetics
• Avon Pediatrics PC
• Avon Urgent Care Inc
• Rita C Ayeni, NP
• Hafsa Baba, PT

• Oral and Maxillofacial Surgery (Dentist) in Avon, IN
• Providers in Avon, IN by specialty
• Oral and Maxillofacial Surgery (Dentist) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.