Samuel Albert Tancredi
D.D.S. | Oral and Maxillofacial Surgeon | 21+ years Exp
9240 N Meridian St, Ste. 300, Indianapolis
Indiana, 46260-1880
317-846-7377 317-846-8566
Maps & DirectionsSamuel Albert Tancredi is a Indianapolis, Indiana based Oral and Maxillofacial Surgeon with
21 years of experience in
Oral and Maxillofacial Surgery. He completed his graduation from
Other in 2004. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Samuel Albert Tancredi is
12010688A for Oral and Maxillofacial Surgery in Indiana. His current practice location is
9240 N Meridian St, Ste. 300, Indianapolis. Patients can reach him at
317-846-7377.
Samuel Albert Tancredi 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 Profile:
Samuel Albert Tancredi speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Samuel Albert Tancredi |
| Specialization: | Oral and Maxillofacial Surgeon |
| Gender: | Male |
| Credentials: | D.D.S. |
| Experience: | 21+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2004 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 9240 N Meridian St, Ste. 300, Indianapolis,
Indiana, 46260-1880 |
| Phone: | 317-846-7377 |
| Fax: | 317-846-8566 |
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 are as mentioned below.
| PAC ID: | 5395818942 |
| Enrollment ID: | I20080716000050 |
| NPI Number: | 1073783478 |
| NPI Enumeration Date: | 03 Mar, 2008 |
| NPI Last Update On: | 29 Feb, 2024 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Samuel Albert Tancredi are as mentioned below.
| License Number | Specialization | State | Status | |
| 12010688A | Oral and Maxillofacial Surgery | Indiana | Primary | |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Samuel Albert Tancredi is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Indiana Oral And Maxillofacial Surgery Associates Pc (9335157254) | 12 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Samuel Albert Tancredi such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 200895780 | Medicaid | Indiana | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 10972 Allisonville Rd, Suite 110
Fishers, Indiana |
| Zip: | 46038-2637 |
| Phone Number: | 317-913-2363 |
| Fax Number: | 317-913-2360 |
Patients can reach Samuel Albert Tancredi at
9240 N Meridian St, Ste. 300, Indianapolis, Indiana or can
call to book an appointment on 317-846-7377.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.