Garrison & Partridge Northeast Oral and Maxillof

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

12007989B Issued in IN

Legal business name

GARRISON & PARTRIDGE NORTHEAST ORAL AND MAXILLOF

Practice address

9860 Westpoint Drive
Suite 100
Indianapolis, IN 46256-3398

Phone

(317) 841-1100

Fax

(317) 841-2200

NPI assigned

Apr 11, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Wendy S Beard

Title

Office Manager

Phone

(317) 841-1100

Specialties & licenses 3

Addresses

Other names 1

• Northeast Oral & Maxillofacial Surgery Doing business as

Locations

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265932800000",
    "number": "1679746580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9860 WESTPOINT DRIVE",
            "address_2": "SUITE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462563398",
            "telephone_number": "317-841-1100",
            "fax_number": "317-841-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9860 WESTPOINT DRIVE",
            "address_2": "SUITE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462563398",
            "telephone_number": "317-841-1100",
            "fax_number": "317-841-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARRISON & PARTRIDGE NORTHEAST ORAL AND MAXILLOF",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-11",
        "last_updated": "2010-02-12",
        "status": "A",
        "authorized_official_last_name": "BEARD",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "317-841-1100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IN",
            "license": "12007989A",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IN",
            "license": "12010961A",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IN",
            "license": "12007989B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northeast Oral & Maxillofacial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vanessa Garrett, RN
• Karen Lizeth Garrido Velez, NP
• Seth Richard Garries, PHARMD
• William Andrew Garriott II
• Melissa Garris, LMT
• Brent Thomas Garrison, D.D.S, M.S.D.
• Clinton Matthew Garrison, DO
• Courtney Garrison
• Jacqueline Brooke Garrison, O.D.
• Joshua M Garrison

• Oral and Maxillofacial Surgery (Dentist) in Indianapolis, IN
• Providers in Indianapolis, 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 Feb 12, 2010; 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.