COLLEGE PARK ORAL & MAXILLOFACIAL SURGERY
NPI 1043309719
Dentist - Oral and Maxillofacial Surgery in Indianapolis, IN

Q: What is College Park Oral & Maxillofacial Surgery's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Active since October 12, 2006

3677 W 86TH STREET, INDIANAPOLIS, IN 46268(317) 872-7777(317) 872-3174 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About College Park Oral & Maxillofacial Surgery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLLEGE PARK ORAL & MAXILLOFACIAL SURGERY (NPI 1043309719) is a healthcare organization registered as an oral and maxillofacial surgery in Indianapolis, Indiana and active in the NPI registry since October 2006. The organization lists J Harold Smith, President, as its authorized official.

NPPES Registry Identity

NPI1043309719

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameCOLLEGE PARK ORAL & MAXILLOFACIAL SURGERY

Location Address3677 W 86TH STREETIndianapolis, IN 46268-1902

Mailing Address3677 W 86th StreetIndianapolis, IN 56268-1902 · (317) 872-7777

Phone(317) 872-7777

Fax(317) 872-3174

Organization SubpartNo

Authorized OfficialJ Harold SmithPresident · (317) 872-7777

Enumeration DateOctober 12, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1043309719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

3677 W 86TH STREET, Indianapolis, IN 46268

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is College Park Oral & Maxillofacial Surgery's NPI number?

The NPI number for College Park Oral & Maxillofacial Surgery is 1043309719. It was assigned to this organization in the NPPES registry on October 12, 2006.

Where is College Park Oral & Maxillofacial Surgery located?

College Park Oral & Maxillofacial Surgery is located at 3677 W 86th Street, Indianapolis, IN 46268. The listed phone number is (317) 872-7777.

What is College Park Oral & Maxillofacial Surgery's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for College Park Oral & Maxillofacial Surgery was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.