Upper Michigan Oral & Maxillofacial Surgery PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

J14145 Issued in MI

Legal business name

UPPER MICHIGAN ORAL & MAXILLOFACIAL SURGERY PC

Practice address

1250 Wilson St
Suite 101
Marquette, MI 49855-4454

Phone

(906) 228-7173

Fax

(906) 228-2916

NPI assigned

Apr 8, 2008

Last updated

Nov 1, 2016By 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

Richard StanchinaNPI 1336158948

Title

President

Phone

(906) 228-7173

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Richard Anthony Stanchina, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Marquette, MI
  • NPI 1336158948
  Authorized official Same address or phone

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477958400000",
    "number": "1316110778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 WILSON ST",
            "address_2": "SUITE 101",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554454",
            "telephone_number": "906-228-7173",
            "fax_number": "906-228-2916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 WILSON ST",
            "address_2": "SUITE 101",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554454",
            "telephone_number": "906-228-7173",
            "fax_number": "906-228-2916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER MICHIGAN ORAL & MAXILLOFACIAL SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2016-11-01",
        "status": "A",
        "authorized_official_last_name": "STANCHINA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "906-228-7173"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "J14145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124726184",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Hope Unruh, LPN
• Up Telehealth, LLC
• Upper Great Lakes Family Health Center (Marquette Family Health Center)
• Upper Michigan Associates LLC (Upper Michigan Surgery Center)
• Upper Michigan Cardiovascular Associates, PC
• Upper Peninsula Assoc. of Rural Health Services Inc.
• Upper Peninsula Association of Rural Health Services, Inc
• Upper Peninsula Association of Rural Health Services, Inc.
• Upper Peninsula Health Care Solutions, Inc.
• Upper Peninsula Managed Care, LLC (UP Health Group)

• Oral and Maxillofacial Surgery (Dentist) in Marquette, MI
• Providers in Marquette, 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 Nov 1, 2016; 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.