Medical school: OHIO STATE UNIVERSITY COLLEGE OF DENTISTRY
Graduated: 1989
NPI: 1821045147
Practice Locations (2)
INDIANA ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES PC
1630 W SMITH VALLEY RD, SUITE 100
GREENWOOD, IN 461421550
3178823370
INDIANA ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES PC
8445 S EMERSON AVE, SUITE 100
INDIANAPOLIS, IN 462379597
3178821284
Source: CMS National Downloadable File, September 2026.