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

Oral & Maxillofacial Surgery Associates PC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1831264324

Oral & Maxillofacial Surgery Associates PC is an Oral and Maxillofacial Surgery (Dentist) in Fort Wayne, Indiana. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
3
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

7845 Carnegie Blvd
Fort Wayne, IN 46804
Phone: (260) 969-4105
Fax: (260) 969-4118
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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
Oral & Maxillofacial Surgery (D.M.D.) Taxonomy 204E00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1831264324
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Celeste Sholl — Credentialing Coordinator · (260) 969-4113
NPI enumeratedNovember 21, 2006
Last updated in NPPESAugust 18, 2025
Certification dateAugust 18, 2025
Mailing address7845 Carnegie Blvd, Fort Wayne, IN 46804-5792

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