Anchor Bay Oral Surgery, P.C.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

2901013088 Issued in MI

Legal business name

ANCHOR BAY ORAL SURGERY, P.C.

Practice address

50150 Hedgeway Dr
Shelby TWP, MI 48317-1829

Phone

(586) 242-5721

Fax

(586) 726-9466

NPI assigned

Jul 27, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey C Knorr, DDS, MSBA

Title

President

Phone

(586) 242-5721

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• David Scott Coviak, D.D.S., M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Warren, MI
  • NPI 1164829438
  NPD (past)

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

{
    "created_epoch": "1406419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662336000000",
    "number": "1386052991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50150 HEDGEWAY DR",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483171829",
            "telephone_number": "586-242-5721",
            "fax_number": "586-726-9466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50150 HEDGEWAY DR",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483171829",
            "telephone_number": "586-242-5721",
            "fax_number": "586-726-9466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHOR BAY ORAL SURGERY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-27",
        "last_updated": "2022-09-05",
        "certification_date": "2022-09-05",
        "status": "A",
        "authorized_official_last_name": "KNORR",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-242-5721",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSBA"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "2901013088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fadi Raheem Al-Qas Hanna, M.D.
• All-Pro Medical Supply, Inc.
• Frank Almaflahi, MSW, LMSW
• Michelle J Ament, D.D.S.
• Richard E Amenta, PHARMD
• Scott Andrus, PHARMD
• Angelic Touch Home Care
• Bradley Annas, DC
• Aptcare Mi-3 PLLC
• Ar Home Care LLC

• Oral and Maxillofacial Surgery (Dentist) in Shelby TWP, MI
• Providers in Shelby TWP, 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 Sep 5, 2022; 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.