ORAL SURGERY OF INDIANA, LLC
NPI 1376181347
Dentist - Oral and Maxillofacial Surgery in Muncie, IN

Active since December 20, 2019
620 S TILLOTSON AVE, MUNCIE, IN 47304(770) 692-1000 Get Directions Write a Review

NPPES record last updated: December 20, 2019. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Oral Surgery Of Indiana, Llc NPPES

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

ORAL SURGERY OF INDIANA, LLC (NPI 1376181347) is a healthcare organization registered as an oral and maxillofacial surgery in Muncie, Indiana and active in the NPI registry since December 2019. The organization lists Tamonia Leonard, Credentailing Specialist, as its authorized official.

NPPES Registry Identity

NPI1376181347
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameORAL SURGERY OF INDIANA, LLC
Location Address620 S TILLOTSON AVEMuncie, IN 47304-4448
Mailing Address620 S Tillotson AveMuncie, IN 47304-4448 · (770) 692-1000
Organization SubpartNo
Authorized OfficialTamonia LeonardCredentailing Specialist · (678) 244-4844
Enumeration DateDecember 20, 2019
NPI 1376181347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.
Also ListedClinic/Center · DentalTaxonomy 261QD0000X
620 S TILLOTSON AVE, Muncie, IN 47304

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

Dentist (Oral and Maxillofacial Surgery)
620 S TILLOTSON AVE
MUNCIE, IN 47304
Dentist (Oral and Maxillofacial Surgery)
620 S TILLOTSON AVE
MUNCIE, IN 47304

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 Surgery Of Indiana, LLC's NPI number?

The NPI number for Oral Surgery Of Indiana, LLC is 1376181347. It was assigned to this organization in the NPPES registry on December 20, 2019.

Where is Oral Surgery Of Indiana, LLC located?

Oral Surgery Of Indiana, LLC is located at 620 S Tillotson Ave, Muncie, IN 47304. The listed phone number is (770) 692-1000.

What is Oral Surgery Of Indiana, LLC'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 Surgery Of Indiana, LLC was last updated on December 20, 2019. 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.