Southern Indiana Oral and Maxillofacial Surgery P.S.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

12007773 Issued in IN

Legal business name

SOUTHERN INDIANA ORAL AND MAXILLOFACIAL SURGERY P.S.C.

Practice address

207 Sparks Ave
Suite 002
Jeffersonville, IN 47130-3771

Phone

(812) 282-8467

Fax

(812) 282-3067

NPI assigned

May 10, 2007

Organization subpart

No

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

Authorized official

Name

Don Forsee, DDS

Title

Dr/Oral & Maxillofacial Surgeon

Phone

(812) 282-8467

Specialties & licenses 1

Addresses

Other names 1

• Southern Indiana Oral Surgery Former legal business name

Locations

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1699989434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 SPARKS AVE",
            "address_2": "SUITE 002",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303771",
            "telephone_number": "812-282-8467",
            "fax_number": "812-282-3067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 SPARKS AVE",
            "address_2": "SUITE 002",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303771",
            "telephone_number": "812-282-8467",
            "fax_number": "812-282-3067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN INDIANA ORAL AND MAXILLOFACIAL SURGERY P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "FORSEE",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "DR/ORAL & MAXILLOFACIAL SURGEON",
        "authorized_official_telephone_number": "812-282-8467",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IN",
            "license": "12007773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Indiana Oral Surgery",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Angela Turpin Snyder
• Krystal Lee Snyder
• Trevor M Soergel, MD
• Southern Home Care (VNA Nazareth Homecare - Indiana)
• Southern Indiana Neurology Associates, Inc.
• Southern Indiana Pediatrics P.S.C.
• Southern Indiana Treatment Center Inc.
• Marlowe Michelle Spalding, APRN
• Melanie Jane Spann
• Albert Spare

• Specialist in Jeffersonville, IN
• Providers in Jeffersonville, IN by specialty
• Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; 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.