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ORAL AND MAXILLOFACIAL SURGERY CENTER OF LAFAYETTE
NPI 1154411163
Dentist - Oral and Maxillofacial Surgery in Lafayette, IN

Active since October 13, 2006
2020 UNION STREET, SUITE 200, LAFAYETTE, IN 47904(765) 446-8808(765) 446-9567 Get Directions Write a Review

NPPES record last updated: February 27, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Oral And Maxillofacial Surgery Center Of Lafayette NPPES

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

ORAL AND MAXILLOFACIAL SURGERY CENTER OF LAFAYETTE (NPI 1154411163) is a healthcare organization registered as an oral and maxillofacial surgery in Lafayette, Indiana and active in the NPI registry since October 2006. The organization lists Courtney A James, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1154411163
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameORAL AND MAXILLOFACIAL SURGERY CENTER OF LAFAYETTE
Location Address2020 UNION STREET, SUITE 200Lafayette, IN 47904
Mailing Address2020 Union Street, Suite 200Lafayette, IN 47904 · (765) 446-8808 · Fax (765) 446-9567
Phone(765) 446-8808
Fax(765) 446-9567
Organization SubpartNo
Authorized OfficialCourtney A JamesOffice Manager · (765) 446-8808
Enumeration DateOctober 13, 2006
Last NPPES UpdateFebruary 27, 2009
✔ NPI 1154411163 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.
2020 UNION STREET, Lafayette, IN 47904
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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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL LEONARD BAGNOLI
Dentist (Oral and Maxillofacial Surgery)
2020 UNION STREET, SUITE 200
LAFAYETTE, IN 47904
Tippecanoe County (765) 446-8808
DR. JOEL R DRAGOO DDS
Dentist (Oral and Maxillofacial Surgery)
2020 UNION STREET, SUITE 200
LAFAYETTE, IN 47904
Tippecanoe County (765) 446-8808

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 Oral And Maxillofacial Surgery Center Of Lafayette's NPI number?

The NPI number for Oral And Maxillofacial Surgery Center Of Lafayette is 1154411163. It was assigned to this organization in the NPPES registry on October 13, 2006.

Where is Oral And Maxillofacial Surgery Center Of Lafayette located?

Oral And Maxillofacial Surgery Center Of Lafayette is located at 2020 Union Street Suite 200, Lafayette, IN 47904. The listed phone number is (765) 446-8808.

What is Oral And Maxillofacial Surgery Center Of Lafayette'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 Oral And Maxillofacial Surgery Center Of Lafayette was last updated on February 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.