OrganizationActive
College Park Oral & Maxillofacial Surgery
NPI 1043309719 · Oral and Maxillofacial Surgery (Dentist) · Indianapolis, IN
Provider details
- NPI number
- 1043309719
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- J Smith, President(317) 872-7777
Specialties & taxonomies
Dental Providers
Practice location
3677 W 86th Street
Indianapolis, IN 46268-1902
Phone: (317) 872-7777
Fax: (317) 872-3174
Approximate (ZIP-level) locationGet directions
Mailing address
3677 W 86th Street
Indianapolis, IN 56268-1902
Registry dates
- Enumerated
- 2006-10-12
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.