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ORAL SURGERY MICHIANA
NPI 1881887065
Clinic/Center - Oral and Maxillofacial Surgery in South Bend, IN

Active since August 22, 2007
3367 DOUGLAS RD, SOUTH BEND, IN 46635(574) 272-8823(574) 277-1837 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 6, 2024, Jul 15, 2022 (2 updates tracked since 2022).

About Oral Surgery Michiana NPPES

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

ORAL SURGERY MICHIANA (NPI 1881887065) is a healthcare organization registered as an oral and maxillofacial surgery in South Bend, Indiana and active in the NPI registry since August 2007. The organization lists Edward Charles Collins, Owner, as its authorized official.

NPPES Registry Identity

NPI1881887065
Entity TypeOrganization
Primary Taxonomy261QS0112X
Legal Business NameEDISON LAKES ORAL SURGERY, P.C.
Location Address3367 DOUGLAS RDSouth Bend, IN 46635-1779
Mailing Address3367 Douglas RdSouth Bend, IN 46635-1779 · (574) 272-8823 · Fax (574) 277-1837
Phone(574) 272-8823
Fax(574) 277-1837
Organization SubpartNo
Authorized OfficialEdward Charles CollinsOwner · (574) 272-8823
Enumeration DateAugust 22, 2007
Last NPPES UpdateMay 6, 20242 updates tracked since enumeration
NPPES CertifiedMay 6, 2024
✔ NPI 1881887065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Oral and Maxillofacial SurgeryAmbulatory Health Care Facilities
Taxonomy Code261QS0112X
License✔ Licensed in IN · 12010802A
Definition

An oral and maxillofacial surgery clinic or center 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 ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X
3367 DOUGLAS RD, South Bend, IN 46635
Open in Google Maps ↗

Other Names 1

Doing Business AsOral Surgery Michiana

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 3

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

DR. EDWARD CHARLES COLLINS III DDS
Dentist (Oral and Maxillofacial Surgery)
3367 DOUGLAS RD
SOUTH BEND, IN 46635
St. Joseph County (574) 272-8823
DR. WILLIAM LAWRENCE HULL III DMD
Dentist (Oral and Maxillofacial Surgery)
3367 DOUGLAS RD
SOUTH BEND, IN 46635
St. Joseph County (574) 272-8823
LANE TREMELLING HAWS DMD, MD
Dentist (Oral and Maxillofacial Surgery)
3367 DOUGLAS RD
SOUTH BEND, IN 46635
St. Joseph County (574) 272-8823

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 Edison Lakes Oral Surgery, P.C.'s NPI number?

The NPI number for Edison Lakes Oral Surgery, P.C. is 1881887065. It was assigned to this organization in the NPPES registry on August 22, 2007. The provider is doing business as Oral Surgery Michiana.

Where is Edison Lakes Oral Surgery, P.C. located?

Edison Lakes Oral Surgery, P.C. is located at 3367 Douglas Rd, South Bend, IN 46635. The listed phone number is (574) 272-8823.

What is Edison Lakes Oral Surgery, P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oral and Maxillofacial Surgery, with taxonomy code 261QS0112X.

What insurance does Edison Lakes Oral Surgery, P.C. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and DentaQuest USA Insurance list Edison Lakes Oral Surgery, P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Edison Lakes Oral Surgery, P.C. was last updated on May 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.