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ORAL AND MAXILLOFACIAL SURGERY, P.C.
NPI 1235248329
Dentist - Oral and Maxillofacial Surgery in Marion, IN

Active since August 30, 2006
1612 N BALDWIN AVE, MARION, IN 46952(765) 662-2068(765) 662-3210 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Oral And Maxillofacial Surgery, P.c. NPPES

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

ORAL AND MAXILLOFACIAL SURGERY, P.C. (NPI 1235248329) is a healthcare organization registered as an oral and maxillofacial surgery in Marion, Indiana and active in the NPI registry since August 2006. The organization lists Lynn E Johnson, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1235248329
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameORAL AND MAXILLOFACIAL SURGERY, P.C.
Location Address1612 N BALDWIN AVEMarion, IN 46952-1872
Mailing Address1612 N Baldwin AveMarion, IN 46952-1872 · (765) 662-2068 · Fax (765) 662-3210
Phone(765) 662-2068
Fax(765) 662-3210
Organization SubpartNo
Authorized OfficialLynn E JohnsonOffice Manager · (765) 662-2068
Enumeration DateAugust 30, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1235248329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in IN · 1223S0112X
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.
1612 N BALDWIN AVE, Marion, IN 46952
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Oral And Maxillofacial Surgery, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Oral And Maxillofacial Surgery, P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Carlo Lo, DDS
Maxillofacial Surgery
NPI 1417991639
3955 EAGLE CREEK PARKWAY, SUITE E
Indianapolis, IN 46254
(317) 291-2848
✔ PECOS✔ Accepts Medicare62 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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, P.C.'s NPI number?

The NPI number for Oral And Maxillofacial Surgery, P.C. is 1235248329. It was assigned to this organization in the NPPES registry on August 30, 2006.

Where is Oral And Maxillofacial Surgery, P.C. located?

Oral And Maxillofacial Surgery, P.C. is located at 1612 N Baldwin Ave, Marion, IN 46952. The listed phone number is (765) 662-2068.

What is Oral And Maxillofacial Surgery, P.C.'s specialty?

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

Is Oral And Maxillofacial Surgery, P.C. enrolled in Medicare?

Yes. Oral And Maxillofacial Surgery, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Oral And Maxillofacial Surgery, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Maxillofacial Surgery) reassigns their Medicare billing to Oral And Maxillofacial Surgery, P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Oral And Maxillofacial Surgery, P.C. 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 6 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.