South Central Oral & Maxillofacial Surgery, LLC
NPI 1760461339 · Oral and Maxillofacial Surgery (Dentist) · Bloomington, IN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
South Central Oral & Maxillofacial Surgery, LLC is a Oral and Maxillofacial Surgery (Dentist) organization in Bloomington, IN (NPI 1760461339).
Provider details
- NPI number
- 1760461339
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Timothy Pliske, Owner(812) 333-2614
- License
- 12008000/12009582 (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
20 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
Registry dates
- Enumerated
- 2006-01-12
- Last updated
- 2020-08-22
Frequently asked questions
- What is South Central Oral & Maxillofacial Surgery, LLC's NPI number?
- South Central Oral & Maxillofacial Surgery, LLC's National Provider Identifier (NPI) is 1760461339, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Central Oral & Maxillofacial Surgery, LLC?
- South Central Oral & Maxillofacial Surgery, LLC is classified in the NPPES registry as Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is South Central Oral & Maxillofacial Surgery, LLC located?
- South Central Oral & Maxillofacial Surgery, LLC's practice location on file with NPPES is 2911 E Covenanter Dr, Bloomington, IN 47401-6320.
- What is South Central Oral & Maxillofacial Surgery, LLC's phone number?
- The practice phone number listed in the NPPES registry for South Central Oral & Maxillofacial Surgery, LLC is (812) 333-2614.
- Does South Central Oral & Maxillofacial Surgery, LLC accept Medicare?
- South Central Oral & Maxillofacial Surgery, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for South Central Oral & Maxillofacial Surgery, LLC?
- The authorized official listed on South Central Oral & Maxillofacial Surgery, LLC's NPPES record is Timothy Pliske, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Central Oral & Maxillofacial Surgery, LLC's NPI active?
- Yes — South Central Oral & Maxillofacial Surgery, LLC's NPI (1760461339) is active in the NPPES registry as of the last update on 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.