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

Oral and Maxillofacial Surgery, PC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1235248329

Oral and Maxillofacial Surgery, PC is an Oral and Maxillofacial Surgery (Dentist) in Marion, 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

1612 N Baldwin Ave
Marion, IN 46952-1872
Phone: (765) 662-2068
Fax: (765) 662-3210
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 1223S0112X (IN)

Record details

NPI number1235248329
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lynn Johnson — Office Manager · (765) 662-2068
NPI enumeratedAugust 30, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1612 N Baldwin Ave, Marion, IN 46952-1872

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