David H Sturtz, D.D.S., M.S.B.A.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

2901012852 Issued in MI

Practice address

9416 S Main St
Suite 211
Plymouth, MI 48170-4157

Phone

(734) 455-0710

Fax

(734) 455-4433

NPI assigned

Sep 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Plymouth Oral & Facial Surgery, PLC

  dba Ann Arbor Oral & Facial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Plymouth, MI
  • NPI 1245253111
  Authorized official Same address or phone

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1083718613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9416 S MAIN ST STE 211",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704183",
            "telephone_number": "248-305-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9416 S MAIN ST",
            "address_2": "SUITE 211",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704157",
            "telephone_number": "734-455-0710",
            "fax_number": "734-455-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STURTZ",
        "first_name": "DAVID",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.B.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "MI",
            "license": "2901012852",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "2901012852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IDENTIFIER",
            "identifier": "DS012852",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Stuckey
• Amber Stuhlmann
• Dorothy Stults
• Shawn Sturgis
• Brenda Sturmer
• Whitney Stutso, SLP
• Sathyamoorthy Subramanian, MPT
• David Sudekum
• Bridget Suitor
• Alayna Rose Sullivan

• Oral and Maxillofacial Surgery (Dentist) in Plymouth, MI
• Providers in Plymouth, 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 Jul 23, 2019; 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.