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MARTINSVILLE ORAL & MAXILLOFACIAL SURGERY
NPI 1619268265
Dentist - Oral and Maxillofacial Surgery in Martinsville, IN

Active since April 29, 2011
509 STATE ROAD 39 BYP S, MARTINSVILLE, IN 46151(765) 352-9700(765) 352-9701 Get Directions Write a Review

NPPES record last updated: April 29, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Martinsville Oral & Maxillofacial Surgery NPPES

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

MARTINSVILLE ORAL & MAXILLOFACIAL SURGERY (NPI 1619268265) is a healthcare organization registered as an oral and maxillofacial surgery in Martinsville, Indiana and active in the NPI registry since April 2011. The organization lists Scott E Tate, Owner, as its authorized official.

NPPES Registry Identity

NPI1619268265
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameBLOOMINGTON ORAL & MAXILLOFACIAL SURGERY
Location Address509 STATE ROAD 39 BYP SMartinsville, IN 46151-1972
Mailing Address509 State Road 39 Byp SMartinsville, IN 46151-1972 · (765) 352-9700 · Fax (765) 352-9701
Phone(765) 352-9700
Fax(765) 352-9701
Organization SubpartNo
Authorized OfficialScott E TateOwner · (812) 323-9700
Enumeration DateApril 29, 2011
✔ NPI 1619268265 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 · 12010196
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.
509 STATE ROAD 39 BYP S, Martinsville, IN 46151
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Other Names 1

Doing Business AsMartinsville Oral & Maxillofacial Surgery

Other Identifiers 3

Medicaid200448260IN
Medicare UPINV01269
Medicare PIN228510

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

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

MCFADDEN FAMILY DENTISTRY, P.C.
Dentist
509 STATE ROAD 39 BYP S
MARTINSVILLE, IN 46151
Morgan County (765) 342-3232

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's NPI number?

The NPI number for Bloomington Oral & Maxillofacial Surgery is 1619268265. It was assigned to this organization in the NPPES registry on April 29, 2011. The provider is doing business as Martinsville Oral & Maxillofacial Surgery.

Where is Bloomington Oral & Maxillofacial Surgery located?

Bloomington Oral & Maxillofacial Surgery is located at 509 State Road 39 Byp S, Martinsville, IN 46151. The listed phone number is (765) 352-9700.

What is Bloomington 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 Bloomington Oral & Maxillofacial Surgery was last updated on April 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.