Organization Name: | SOUTHERN INDIANA ORAL AND MAXILLOFACIAL SURGERY P.S.C. |
NPI Number: | 1699989434 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DON FORSEE (DR/ORAL & MAXILLOFACIAL SURGEON) |
Mailing Address: | 207 Sparks Ave Suite 002 Jeffersonville |
State: | IN US |
Postal Code: | 471303771 |
Phone Number: | 8122828467 |
Fax Number: | 8122823067 |
NPI Enumeration Date: | 05/10/2007 |
NPI Last Update Date: | 01/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 12007773 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |