Marion Oral & Maxillofacial Surgery, LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

MARION ORAL & MAXILLOFACIAL SURGERY, LLC

Practice address

702 N River Dr
Marion, IN 46952-2647

Phone

(765) 664-1076

NPI assigned

Nov 29, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Harry Papadopoulos, DDS, MD

Title

Practice Co-Owner

Phone

(317) 453-1980

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charlie Cox Jr., DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Kokomo, IN
  • NPI 1922189273
  NPD (past)

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

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543449600000",
    "number": "1609346949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11555 BELMONT CT",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460328680",
            "telephone_number": "317-453-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 N RIVER DR",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522647",
            "telephone_number": "765-664-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION ORAL & MAXILLOFACIAL SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-29",
        "last_updated": "2018-11-29",
        "status": "A",
        "authorized_official_last_name": "PAPADOPOULOS",
        "authorized_official_first_name": "HARRY",
        "authorized_official_title_or_position": "PRACTICE CO-OWNER",
        "authorized_official_telephone_number": "317-453-1980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MD"
    },
    "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": []
}

• Marion General Hospital
• Marion General Hospital
• Marion General Radiology, Inc.
• Marion Occupational Medicine LLC
• Marion Oral & Maxillofacial Surgeons, Inc.
• Marion Pediatrics LLC
• Marion Physical Therapy Center Ind.
• Marion Surgeons, Inc
• Marion Vamc
• Marion Vamc

• Oral and Maxillofacial Surgery (Dentist) in Marion, IN
• Providers in Marion, 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 Nov 29, 2018; 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.