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

Lafayette Oral and Maxillofacial Surgery Group, PC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1972685238

Lafayette Oral and Maxillofacial Surgery Group, PC is an Oral and Maxillofacial Surgery (Dentist) in Lafayette, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2 Executive Dr Ste A
Lafayette, IN 47905-4859
Phone: (765) 807-0230
Fax: (765) 807-0234
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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 · Licence 1201055A (IN)

Record details

NPI number1972685238
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brett Henrikson — President · (765) 807-0230
NPI enumeratedOctober 19, 2006
Last updated in NPPESAugust 22, 2020
Mailing address2 Executive Dr, Suite A, Lafayette, IN 47905-4859

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