STEVEN C. GRAHAM, DDS, MATTHEW C. MOLL, DDS - NPI 1942426341

Q: What is East Indianapolis Oral And Maxillofacial Surgery's specialty?

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

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About Steven C. Graham, Dds, Matthew C. Moll, Dds NPPES

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

STEVEN C. GRAHAM, DDS, MATTHEW C. MOLL, DDS (NPI 1942426341) is a healthcare organization registered as an oral and maxillofacial surgery in Indianapolis, Indiana and active in the NPI registry since April 2007. The organization lists Matthew C Moll, Owner, as its authorized official.

NPPES Registry Identity

NPI1942426341

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameEAST INDIANAPOLIS ORAL AND MAXILLOFACIAL SURGERY

Location Address125 N SHORTRIDGE RDIndianapolis, IN 46219-4908

Mailing Address125 N Shortridge RdIndianapolis, IN 46219-4908 · (317) 353-1320 · Fax (317) 359-5243

Phone(317) 353-1320

Fax(317) 359-5243

Organization SubpartNo

Authorized OfficialMatthew C MollOwner · (317) 353-1320

Enumeration DateApril 17, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1942426341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

125 N SHORTRIDGE RD, Indianapolis, IN 46219

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Other Names 1

Doing Business AsSteven C. Graham, Dds, Matthew C. Moll, Dds

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 7

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

DR. STEVEN CROMWELL GRAHAM DDS

Dentist (Oral and Maxillofacial Surgery)