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

College Park Oral & Maxillofacial Surgery

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1043309719

College Park Oral & Maxillofacial Surgery is an Oral and Maxillofacial Surgery (Dentist) in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006

Practice location Address checks out

3677 W 86th St
Indianapolis, IN 46268-1902
Phone: (317) 872-7777
Fax: (317) 872-3174
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

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

Record details

NPI number1043309719
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official J Smith — President · (317) 872-7777
NPI enumeratedOctober 12, 2006
Last updated in NPPESAugust 22, 2020
Mailing address3677 W 86th Street, Indianapolis, IN 56268-1902

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