Active NPI
Rosolino Vincent Sclafani, DDS,MD
- Oral and Maxillofacial Surgery (Dentist)
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 2901019257
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901019257 | MI | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Oral & Maxillofacial Surgery PC | Oral and Maxillofacial Surgery | Current | 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
- 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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Warren, MI
- NPI 1811066129
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.