Oral and Facial Surgeons of Michigan, PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

ORAL AND FACIAL SURGEONS OF MICHIGAN, PC

Practice address

11525 Highland Rd
Suite 23
Hartland, MI 48353-2726

Phone

(810) 632-0303

Fax

(810) 632-7305

NPI assigned

Aug 24, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Evelyn M Davis

Title

Billing Dept./Accounts

Phone

(810) 632-0303

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bryan J Johnson, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Waterford, MI
  • NPI 1740384981
  Medicare reassignment Care Compare group NPD
• Andrew Meram, D.D.S., M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Brighton, MI
  • NPI 1518122845
  Medicare reassignment Care Compare group NPD
• Matthew Stephen Pinsky, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Ann Arbor, MI
  • NPI 1316167612
  Medicare reassignment Care Compare group NPD
• Kyle A Eurick, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • NPI 1619381522

  MI

  Medicare reassignment Care Compare group NPD
• Marvin Frank Jabero, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Columbus, OH
  • NPI 1972711000

  MI

  Medicare reassignment Care Compare group NPD
• Richard Michael Benian, D.D.S

  • Oral and Maxillofacial Surgery (Dentist)
  • Detroit, MI
  • NPI 1902866239
  Medicare reassignment NPD
• David Alexander Waack, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Cary, NC
  • NPI 1720033863
  NPD (past)
• Richard Wilkinson, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Chippewa Falls, WI
  • NPI 1386751543
  NPD (past)

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1275640369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11525 HIGHLAND RD",
            "address_2": "SUITE 23",
            "city": "HARTLAND",
            "state": "MI",
            "postal_code": "483532726",
            "telephone_number": "810-632-0303",
            "fax_number": "810-632-7305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11525 HIGHLAND RD",
            "address_2": "SUITE 23",
            "city": "HARTLAND",
            "state": "MI",
            "postal_code": "483532726",
            "telephone_number": "810-632-0303",
            "fax_number": "810-632-7305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL AND FACIAL SURGEONS OF MICHIGAN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING DEPT./ACCOUNTS",
        "authorized_official_telephone_number": "810-632-0303",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI",
            "identifier": "190F37120",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kendall Ann Nuffer
• Cassie Lynn Oakley
• Gail Lynn Oneill, P.T.
• Dennis S Ora, DDS
• Matthew Cronin Ora, D.D.S.
• Amy Page
• Kaylee Page
• Kristy Partee
• Holin Alexis Paterson, NP
• Alexa Pellerito

• Oral and Maxillofacial Surgery (Dentist) in Hartland, MI
• Providers in Hartland, 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 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.