Premier Oral Surgery and Implants, PLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

PREMIER ORAL SURGERY AND IMPLANTS, PLC

Practice address

5090 E Hill Rd
Grand Blanc, MI 48439-7637

Phone

(810) 445-9970

Fax

(810) 445-9971

NPI assigned

Jul 27, 2015

Last updated

Oct 29, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Tresha Kaye Yorton

Title

Office Manager

Phone

(810) 445-9970

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603929600000",
    "number": "1033594411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5090 E HILL RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484397637",
            "telephone_number": "810-445-9970",
            "fax_number": "810-445-9971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5090 E HILL RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484397637",
            "telephone_number": "810-445-9970",
            "fax_number": "810-445-9971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1176 1/2 S Lapeer Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Lapeer",
            "state": "MI",
            "postal_code": "484463385",
            "country_code": "US",
            "telephone_number": "810-667-6855",
            "fax_number": "810-667-6875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PREMIER ORAL SURGERY AND IMPLANTS, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-27",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A",
        "authorized_official_last_name": "YORTON",
        "authorized_official_first_name": "TRESHA",
        "authorized_official_middle_name": "KAYE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "810-445-9970",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "2901017170",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Porter Place Afc LLC
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• Navin Prasad, MD
• Veerabrahmam Prathikanti, M.D.
• Sara Pratt
• Premier Plastic Surgery,P.C.,F.a.C.S.
• Premier Rehabilitation Services, Inc.
• Nicole Pretz, COTA
• Tyler Price-Bell
• Allison McKenna Price

• Oral and Maxillofacial Surgery (Dentist) in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Oral and Maxillofacial Surgery (Dentist) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.