Bloomington Oral & Maxillofacial Surgery
NPI 1619268265 · Oral and Maxillofacial Surgery (Dentist) · Martinsville, IN
Bloomington Oral & Maxillofacial Surgery is a Oral and Maxillofacial Surgery (Dentist) organization in Martinsville, IN (NPI 1619268265).
Provider details
- NPI number
- 1619268265
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Scott Tate, Owner(812) 323-9700
- License
- 12010196 (IN)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Martinsville Oral & Maxillofacial Surgery
Registry dates
- Enumerated
- 2011-04-29
- Last updated
- 2011-04-29
Frequently asked questions
- What is Bloomington Oral & Maxillofacial Surgery's NPI number?
- Bloomington Oral & Maxillofacial Surgery's National Provider Identifier (NPI) is 1619268265, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bloomington Oral & Maxillofacial Surgery?
- Bloomington Oral & Maxillofacial Surgery is classified in the NPPES registry as Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Bloomington Oral & Maxillofacial Surgery located?
- Bloomington Oral & Maxillofacial Surgery's practice location on file with NPPES is 509 State Road 39 Byp S, Martinsville, IN 46151-1972.
- What is Bloomington Oral & Maxillofacial Surgery's phone number?
- The practice phone number listed in the NPPES registry for Bloomington Oral & Maxillofacial Surgery is (765) 352-9700.
- Who is the authorized official for Bloomington Oral & Maxillofacial Surgery?
- The authorized official listed on Bloomington Oral & Maxillofacial Surgery's NPPES record is Scott Tate, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bloomington Oral & Maxillofacial Surgery's NPI active?
- Yes — Bloomington Oral & Maxillofacial Surgery's NPI (1619268265) is active in the NPPES registry as of the last update on 2011-04-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.