OrganizationActive
Fishers Oral & Maxillofacial Surgery
NPI 1174534515 · Oral and Maxillofacial Surgery (Dentist) · Fishers, IN
Provider details
- NPI number
- 1174534515
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Michael Bennett, President Surgeon(317) 849-3667
- License
- 12007758 (IN)
Specialties & taxonomies
Dental Providers
Practice location
9126 Technology Ln
Ste 300
Fishers, IN 46038-3064
Phone: (317) 849-3667
Fax: (317) 849-3668
Approximate (ZIP-level) locationGet directions
Mailing address
9126 Technology Ln
Fishers, IN 46038-3064
Registry dates
- Enumerated
- 2006-08-10
- Last updated
- 2012-10-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.