Individual provider Active NPI

Rosolino Vincent Sclafani, DDS,MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Detroit, MI
National Provider Identifier
1467663294
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
2901019257 Issued in MI
Practice address
7815 E Jefferson Ave
Suite 2B
Detroit, MI 48214-3704
Phone
(313) 499-4775
Fax
(313) 499-4908
NPI assigned
May 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 2901019257 MI Primary

Addresses

Primary practice location

7815 E Jefferson Ave
Suite 2B
Detroit, MI 48214-3704

Mailing address

37251 Willow LN
Clinton Township, MI 48036-3667
Phone (586) 362-4544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131109000282 MI Practitioner - Oral SurgeryPractitioner - Maxillofacial Surgery 2062647530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
University of Detroit Mercy School of Dentistry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Oral and Maxillofacial Surgery PCGroup PAC ID 5991772287, 7 clinicians

Practice addresses (Care Compare)

12150 30 Mile Rd
Suite 202
Washington Township, MI 48095-2035
Phone (586) 752-9691

15286 Wellington Ctr Blvd
Macomb, MI 48044-3536
Phone (586) 286-1600

29425 Ryan Rd
Warren, MI 48092-2203

29427 Ryan Rd
Warren, MI 48092-2203
Phone (586) 755-9340

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2901019257MIMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Oral & Maxillofacial Surgery PC Oral and Maxillofacial Surgery CurrentSince Jan 12, 2019 Accepting new patients

Locations

20675 Mack Ave
Grosse Pointe Woods, MI 48236
Phone (313) 885-8344

305 Barclay Cir
Ste 1000
Rochester Hills, MI 48307
Phone (248) 299-1892

29425 Ryan Rd
Warren, MI 48092
Phone (586) 755-9340

29427 Ryan Rd
Warren, MI 48092
Phone (586) 755-9340

12150 30 Mile Rd
Ste 202
Washington Township, MI 48095
Phone (586) 752-9691

Interoperability endpoints

  • Direct secure messaging: rsclafani218712@direct.hfhs.org

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467663294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37251 WILLOW LN",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480363667",
            "telephone_number": "586-362-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7815 E JEFFERSON AVE",
            "address_2": "SUITE 2B",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482143704",
            "telephone_number": "313-499-4775",
            "fax_number": "313-499-4908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCLAFANI",
        "first_name": "ROSOLINO",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "DDS,MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "2901019257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.