Plymouth Oral & Facial Surgery, PLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

2901014383 Issued in MI

Legal business name

PLYMOUTH ORAL & FACIAL SURGERY, PLC

Doing business as

Ann Arbor Oral & Facial Surgery

Practice address

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

Phone

(734) 455-0710

Fax

(734) 455-4433

NPI assigned

Jul 25, 2006

Last updated

Mar 17, 2008By 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

Dr. David H Sturtz, D.D.S.NPI 1083718613

Title

Senior Partner

Phone

(734) 455-0710

Specialties & licenses 4

Addresses

Other names 1

• Ann Arbor Oral & Facial Surgery Doing business as

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David H Sturtz, D.D.S., M.S.B.A.

  • Oral and Maxillofacial Surgery (Dentist)
  • Plymouth, MI
  • NPI 1083718613
  Authorized official Same address or phone
• David Allen Aldrich, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Plymouth, MI
  • NPI 1376610352
  NPD (past)
• Gary L Masch, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Ypsilanti, MI
  • NPI 1275606386
  NPD (past)
• Elise Louise Ehland, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • New Orleans, LA
  • NPI 1881994184
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1245253111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": {
        "organization_name": "PLYMOUTH ORAL & FACIAL SURGERY, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "STURTZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "SENIOR PARTNER",
        "authorized_official_telephone_number": "734-455-0710",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "2901014383",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "2901012852",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "2901011993",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "2901017635",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ann Arbor Oral & Facial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Plymouth Dental Associates PC
• Plymouth Durable Medical Equipment, Inc.
• Plymouth Endodontics
• Plymouth Mental Health
• Plymouth Opco LLC (Medilodge of Plymouth)
• Plymouth Pharmacy Group Inc.
• Plymouth Physical Therapy Specialists Limited Partnership
• Plymouth Psychological Assessments PLLC
• Plymouth Sunsal Dental, PLLC
• Plymouth Urgent Care PLLC

• 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 Mar 17, 2008; 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.