Anderson Oral and Maxillofacial Surgery

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

ANDERSON ORAL AND MAXILLOFACIAL SURGERY

Doing business as

AOMS,llc

Practice address

1601 Medical Arts Blvd
Suite 3
Anderson, IN 46011-3458

Phone

(765) 298-4400

NPI assigned

Apr 29, 2015

Last updated

Apr 29, 2015By 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

Dr. Corbin G Partrdige, DMD

Title

Owner

Phone

(317) 841-1100

Specialties & licenses 1

Addresses

Other names 1

• AOMS,llc Doing business as

Locations

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430265600000",
    "number": "1891172797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6268",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460386268",
            "telephone_number": "317-841-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 MEDICAL ARTS BLVD",
            "address_2": "SUITE 3",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460113458",
            "telephone_number": "765-298-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON ORAL AND MAXILLOFACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-29",
        "last_updated": "2015-04-29",
        "status": "A",
        "authorized_official_last_name": "PARTRDIGE",
        "authorized_official_first_name": "CORBIN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-841-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AOMS,llc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Anderson Pediatric Dentistry
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• Anderson Psychiatric Clinic LLC
• Anderson Urologic Associates, P.C.

• Oral and Maxillofacial Surgery (Dentist) in Anderson, IN
• Providers in Anderson, 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 Apr 29, 2015; 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.