Marion Oral & Maxillofacial Surgeons, Inc.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

12007459 Issued in IN

Legal business name

MARION ORAL & MAXILLOFACIAL SURGEONS, INC.

Practice address

702 N River Dr
Marion, IN 46952-2647

Phone

(765) 664-1076

Fax

(765) 668-4299

NPI assigned

May 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Charlie Cox Jr., D.D.S.

Title

Doctor

Phone

(765) 664-1076

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1861604449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 N RIVER DR",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522647",
            "telephone_number": "765-664-1076",
            "fax_number": "765-668-4299"
        },
        {
            "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",
            "fax_number": "765-668-4299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION ORAL & MAXILLOFACIAL SURGEONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "CHARLIE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "765-664-1076",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IN",
            "license": "12007459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100466560",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marion General Hospital
• Marion General Hospital
• Marion General Hospital
• Marion General Radiology, Inc.
• Marion Occupational Medicine LLC
• Marion Oral & Maxillofacial Surgery, LLC
• Marion Pediatrics LLC
• Marion Physical Therapy Center Ind.
• Marion Surgeons, Inc
• 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 Jul 2, 2008; 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.