SOUTH CENTRAL ORAL & MAXILLOFACIAL SURGERY, LLC is an oral and maxillofacial surgery dentist in Bloomington, IN. The provider is an oral and maxillofacial surgery dentist specialized in 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. SOUTH CENTRAL ORAL & MAXILLOFACIAL SURGERY, LLC NPI is 1760461339. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
2911 E COVENANTER DR
SUITE B
BLOOMINGTON, IN
ZIP 47401-320
Phone: (812) 333-2614
Fax: (812) 333-4594
The provider's authorized official is Timothy A Pliske .
The authorized official title is Owner and has the following contact phone number (812) 333-2614.
The enumeration date for this NPI number is 1/12/2006 and was last updated on 8/22/2020.