Medical school: UNIVERSITY OF LOUISVILLE SCHOOL OF DENTISTRY
Graduated: 1986
Also: MAXILLOFACIAL SURGERY
NPI: 1215084413
Practice Locations (1)
ORAL SURGERY GROUP OF EVANSVILLE INC
550 W VIRGINIA ST
EVANSVILLE, IN 477101614
8124255194
Source: CMS National Downloadable File, September 2026.