Indiana Oral & Maxillofacial Surgery Associates PC
NPI 1407809585ActiveOrganization· Dentist, Oral and Maxillofacial Surgery· Fishers, IN
Dentist, Oral and Maxillofacial Surgery in Fishers, Indiana, registered in NPPES in May 2006. The authorized official on file is Keith Miller, Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1407809585 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 18, 2006 |
| Last updated in NPPES | Mar 13, 2026 |
| Certified by provider | Mar 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Oral and Maxillofacial Surgery Primary | 1223S0112X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IN) |
|---|
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