Organization Active NPI

Metropolitan Oral and Maxillofacial Surgery, P.L.L.C.

  • Oral and Maxillofacial Pathology Dentistry
  • Flint, MI
National Provider Identifier
1619021862
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X
Legal business name
METROPOLITAN ORAL AND MAXILLOFACIAL SURGERY, P.L.L.C.
Practice address
5080 W Bristol Rd
Flint, MI 48507-2923
Phone
(810) 733-5570
Fax
(810) 733-0221
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2008

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

Authorized official

Name
Dr. George Thomas Goffas, D.D.S., M.D., M.S.
Title
Surgeon
Phone
(810) 733-5570

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Pathology DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0106X Primary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X MI
Oral & Maxillofacial Surgery (D.M.D.)Group: 193200000X MULTI-SPECIALTY GROUP 204E00000X

Addresses

Primary practice location

5080 W Bristol Rd
Flint, MI 48507-2923

Mailing address

5080 W Bristol Rd
Flint, MI 48507-2923
Phone (810) 733-5570

Other identifiers 11

IdentifierTypeStateIssuer
1310702OtherMIUNITED CONCORDIA
0986425OtherMIHEALTH PLUS DR. GOFFAS
DB0981OtherMIMEDICARE RAILROAD
P59769OtherMIDR. HYDE BCN
0986834OtherMIHEALTH PLUS DR. HYDE
2901014309OtherMIDENTAMAX DR. HYDE
S1D8003860OtherMIBCBS DENTAL
1009797OtherMIDR. HYDE GLOBAL
D143090OtherMIBCBS DENTAL DR. HYDE
2901014708OtherMIDENTAMAX DR. GOFFAS
D147080OtherMIBCBS DENTAL DR. GOFFAS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206489600000",
    "number": "1619021862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5080 W BRISTOL RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072923",
            "telephone_number": "810-733-5570",
            "fax_number": "810-733-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5080 W BRISTOL RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072923",
            "telephone_number": "810-733-5570",
            "fax_number": "810-733-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN ORAL AND MAXILLOFACIAL SURGERY, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2008-03-26",
        "status": "A",
        "authorized_official_last_name": "GOFFAS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "SURGEON",
        "authorized_official_telephone_number": "810-733-5570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.D., M.S."
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1310702",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS DR. GOFFAS",
            "identifier": "0986425",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DB0981",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. HYDE BCN",
            "identifier": "P59769",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS DR. HYDE",
            "identifier": "0986834",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAMAX  DR. HYDE",
            "identifier": "2901014309",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS DENTAL",
            "identifier": "S1D8003860",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. HYDE GLOBAL",
            "identifier": "1009797",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS DENTAL DR. HYDE",
            "identifier": "D143090",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAMAX  DR. GOFFAS",
            "identifier": "2901014708",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS DENTAL DR. GOFFAS",
            "identifier": "D147080",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; 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.