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

Richmond Oral & Maxillofacial Surgery, LLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1790105203

Richmond Oral & Maxillofacial Surgery, LLC is an Oral and Maxillofacial Surgery (Dentist) in Richmond, Indiana. Licensed in Indiana. Registered with an NPI since 2014.

Licensed in
IN
In the registry since
2014
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1004 Oak Dr
Richmond, IN 47374-1916
Phone: (765) 935-1997
Fax: (765) 939-2861
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 12010961A (IN)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 12010160A (IN)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 12011603A (IN)

Record details

NPI number1790105203
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wendy Beard — Office Manager · (317) 841-1100
NPI enumeratedApril 23, 2014
Last updated in NPPESApril 23, 2014
Mailing address1004 Oak Dr, Richmond, IN 47374-1916

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