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

East Indianapolis Oral and Maxillofacial Surgery

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1942426341

East Indianapolis Oral and Maxillofacial Surgery is an Oral and Maxillofacial Surgery (Dentist) in Indianapolis, Indiana. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

125 N Shortridge Rd
Indianapolis, IN 46219-4908
Phone: (317) 353-1320
Fax: (317) 359-5243
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

Record details

NPI number1942426341
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Moll — Owner · (317) 353-1320
Other names Steven C. Graham, Dds, Matthew C. Moll, Dds
NPI enumeratedApril 17, 2007
Last updated in NPPESAugust 22, 2020
Mailing address125 N Shortridge Rd, Indianapolis, IN 46219-4908

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