Advanced Oral Surgery - Marion, LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

ADVANCED ORAL SURGERY - MARION, LLC

Practice address

1612 N Baldwin Ave Ste a
Marion, IN 46952-1457

Phone

(765) 662-2068

NPI assigned

Oct 21, 2026

Last updated

Oct 21, 2026By 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

Mehul J Patel, DDS

Title

Practice Owner - Surgeon

Phone

(805) 813-6074

Specialties & licenses 1

Addresses

Practitioners 4

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.

• Bernard B Dreiman, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Marion, IN
  • NPI 1366551434
  NPD (past)
• William Anthony Hughes, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Crawfordsville, IN
  • NPI 1134387806
  NPD (past)
• Carlo C Lo, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Indianapolis, IN
  • NPI 1417991639
  NPD (past)
• John David Kisella, D.D.S., M.D

  • Specialist
  • Matthews, NC
  • NPI 1174530562

  Oral and Maxillofacial Surgery

  NPD (past)

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

{
    "created_epoch": "1792540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792540800000",
    "number": "1851298103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 N BALDWIN AVE STE A",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469521457",
            "telephone_number": "765-662-2068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 N BALDWIN AVE STE A",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469521457",
            "telephone_number": "765-662-2068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ORAL SURGERY - MARION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-21",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MEHUL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRACTICE OWNER - SURGEON",
        "authorized_official_telephone_number": "805-813-6074",
        "authorized_official_credential": "DDS"
    },
    "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": []
}

• Sophia Margaret Acierto, C.O.T.A./L
• Rene Michael Acosta, OTA
• Kiley Adamson, RBT
• Damilola Abiola Adeyemo
• Gary Lynn Adsit, D.P.M.
• Rotimi A Afesumeh, M.D.
• Isaki Afolabi, MBBS
• Charu Agarwal
• Akosua Agyei, MBCHB
• Syed T Ahsan, DO

• 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 Oct 21, 2026; 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.