Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bloomington Oral & Maxillofacial Surgery

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1619268265

Bloomington Oral & Maxillofacial Surgery is an Oral and Maxillofacial Surgery (Dentist) in Martinsville, Indiana. Licensed in Indiana. Registered with an NPI since 2011.

Licensed in
IN
In the registry since
2011

Practice location Address checks out

509 State Road 39 Byp S
Martinsville, IN 46151-1972
Phone: (765) 352-9700
Fax: (765) 352-9701
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 12010196 (IN)

Record details

NPI number1619268265
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Scott Tate — Owner · (812) 323-9700
Other names Martinsville Oral & Maxillofacial Surgery
NPI enumeratedApril 29, 2011
Last updated in NPPESApril 29, 2011
Mailing address509 State Road 39 Byp S, Martinsville, IN 46151-1972