TRI-STATE ORAL SURGERY, LLC
NPI 1710366323
Dentist - Oral and Maxillofacial Surgery in Evansville, IN

Q: What is Tri-State Oral Surgery, LLC's NPI number?

The NPI number for Tri-State Oral Surgery, LLC is 1710366323. It was assigned to this organization in the NPPES registry on May 28, 2015.

Q: What is Tri-State Oral Surgery, LLC's specialty?

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

Active since May 28, 2015

405 BENTEE WES CT, EVANSVILLE, IN 47715(812) 401-3500(812) 401-3600 Get Directions Write a Review

NPPES record last updated: May 28, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tri-state Oral Surgery, Llc NPPES

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

TRI-STATE ORAL SURGERY, LLC (NPI 1710366323) is a healthcare organization registered as an oral and maxillofacial surgery in Evansville, Indiana and active in the NPI registry since May 2015. The organization lists Mark E. Wohlford, Owner, as its authorized official.

NPPES Registry Identity

NPI1710366323

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameTRI-STATE ORAL SURGERY, LLC

Location Address405 BENTEE WES CTEvansville, IN 47715-4061

Mailing Address405 Bentee Wes CtEvansville, IN 47715-4061 · (812) 401-3500 · Fax (812) 401-3600

Phone(812) 401-3500

Fax(812) 401-3600

Organization SubpartNo

Authorized OfficialMark E. WohlfordOwner · (812) 401-3500

Enumeration DateMay 28, 2015

✔ NPI 1710366323 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 · 12009501A

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.

405 BENTEE WES CT, Evansville, IN 47715

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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

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

MR. STEVEN F RODGERS DDS

Dentist (Oral and Maxillofacial Surgery)

405 BENTEE WES CT
EVANSVILLE, IN 47715

Vanderburgh County (812) 401-3500

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 Tri-State Oral Surgery, LLC's NPI number?

The NPI number for Tri-State Oral Surgery, LLC is 1710366323. It was assigned to this organization in the NPPES registry on May 28, 2015.

Where is Tri-State Oral Surgery, LLC located?

Tri-State Oral Surgery, LLC is located at 405 Bentee Wes Ct, Evansville, IN 47715. The listed phone number is (812) 401-3500.

What is Tri-State Oral Surgery, 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 Tri-State Oral Surgery, LLC was last updated on May 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.