BLOOMINGTON ORAL & MAXILLOFACIAL SURGERY GROUP
NPI 1386762318
Oral & Maxillofacial Surgery in Bloomington, IN

Q: What is Bloomington Oral & Maxillofacial Surgery Group's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Active since March 27, 2007

637 S WALKER STREET, SUITE 1, BLOOMINGTON, IN 47403(812) 323-9700(812) 323-9701 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Bloomington Oral & Maxillofacial Surgery Group NPPES

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

BLOOMINGTON ORAL & MAXILLOFACIAL SURGERY GROUP (NPI 1386762318) is a healthcare organization registered as an oral & maxillofacial surgery in Bloomington, Indiana and active in the NPI registry since March 2007. The organization lists Scott E Tate, Doctor President, as its authorized official.

NPPES Registry Identity

NPI1386762318

Entity TypeOrganization

Primary Taxonomy204E00000X

Legal Business NameBLOOMINGTON ORAL & MAXILLOFACIAL SURGERY GROUP

Location Address637 S WALKER STREET, SUITE 1Bloomington, IN 47403-2154

Mailing Address637 S Walker Street, Suite 1Bloomington, IN 47403-2154 · (812) 323-9700 · Fax (812) 323-9701

Phone(812) 323-9700

Fax(812) 323-9701

Organization SubpartNo

Authorized OfficialScott E TateDoctor President · (812) 323-9700

Enumeration DateMarch 27, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1386762318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code204E00000X

License✔ Licensed in IN · IN12010196A

Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

637 S WALKER STREET, Bloomington, IN 47403

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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 Bloomington Oral & Maxillofacial Surgery Group's NPI number?

The NPI number for Bloomington Oral & Maxillofacial Surgery Group is 1386762318. It was assigned to this organization in the NPPES registry on March 27, 2007.

Where is Bloomington Oral & Maxillofacial Surgery Group located?

Bloomington Oral & Maxillofacial Surgery Group is located at 637 S Walker Street Suite 1, Bloomington, IN 47403. The listed phone number is (812) 323-9700.

What is Bloomington Oral & Maxillofacial Surgery Group's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

When was this NPI record last updated?

The NPPES record for Bloomington Oral & Maxillofacial Surgery Group 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.