OrganizationActive
East Indianapolis Oral and Maxillofacial Surgery
NPI 1942426341 · Oral and Maxillofacial Surgery (Dentist) · Indianapolis, IN
Provider details
- NPI number
- 1942426341
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Matthew Moll, Owner(317) 353-1320
Specialties & taxonomies
Dental Providers
Practice location
125 N Shortridge Rd
Indianapolis, IN 46219-4908
Phone: (317) 353-1320
Fax: (317) 359-5243
Approximate (ZIP-level) locationGet directions
Mailing address
125 N Shortridge Rd
Indianapolis, IN 46219-4908
Other names (DBA / former)
- Doing business as
- Steven C. Graham, DDS, Matthew C. Moll, DDS
Registry dates
- Enumerated
- 2007-04-17
- 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.