Lafayette Oral And Maxillofacial Surgery Group, P.c. is a Oral and Maxillofacial Dental Clinic in Lafayette, Indiana. It is located at 2 Executive Dr, Suite A, Lafayette, IN and its contact number is 765-807-0230. The authorized person for Lafayette Oral And Maxillofacial Surgery Group, P.c. is Dr. Brett Anthony Henrikson
who is President of the clinic and their contact number is 765-807-0230. Other organizations associated with this clinic are Lakewood Family Dental Of Lafayette Inc, Lafayette Oral And Maxillofacial Surgery Group, P.c., The primary license number for Lafayette Oral And Maxillofacial Surgery Group, P.c. is 1201055A (Oral and Maxillofacial Surgery) in Indiana. Lafayette Oral And Maxillofacial Surgery Group, P.c. Clinic deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Clinic Profile:
Lafayette Oral And Maxillofacial Surgery Group, P.c. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Lafayette Oral And Maxillofacial Surgery Group, P.c.
Specialization:
Oral and Maxillofacial Surgery
Clinic Address:
2 Executive Dr, Suite A, Lafayette, Indiana, 47905-4859
Phone:
765-807-0230
Fax:
765-807-0234
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Brett Anthony Henrikson
Position:
President
Contact Number:
765-807-0230
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Lafayette Oral And Maxillofacial Surgery Group, P.c. clinic are as mentioned below.
NPI Number:
1972685238
NPI Enumeration Date:
19 Oct, 2006
NPI Last Update On:
22 Aug, 2020
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
Name
Specialization
NPI Number
Lakewood Family Dental Of Lafayette Inc
Dentistry
1487026431
Lafayette Oral And Maxillofacial Surgery Group, P.c.
Oral and Maxillofacial Surgery
1972685238
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lafayette Oral And Maxillofacial Surgery Group, P.c. are as mentioned below.
Specialization
License Number
State
Status
Oral and Maxillofacial Surgery
1201055A
Indiana
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
600000340871
Other
Indiana
Anthem Bc/bs
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Lafayette Oral And Maxillofacial Surgery Group, P.c. 2 Executive Dr, Suite A Lafayette, Indiana
Zip:
47905-4859
Phone Number:
765-807-0230
Fax Number:
765-807-0234
Patients can reach Lafayette Oral And Maxillofacial Surgery Group, P.c. at 2 Executive Dr, Suite A, Lafayette, Indiana or can call to book an appointment on 765-807-0230. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.