Active NPI
Metropolitan Oral and Maxillofacial Surgery, P.L.L.C.
- Oral and Maxillofacial Pathology Dentistry
- Flint, MI
National Provider Identifier
1619021862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Pathology Dentistry
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Pathology Dentistry | 1223P0106X | Primary | ||
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | MI | ||
| Oral & Maxillofacial Surgery (D.M.D.) | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1310702 | Other | MI | UNITED CONCORDIA |
| 0986425 | Other | MI | HEALTH PLUS DR. GOFFAS |
| DB0981 | Other | MI | MEDICARE RAILROAD |
| P59769 | Other | MI | DR. HYDE BCN |
| 0986834 | Other | MI | HEALTH PLUS DR. HYDE |
| 2901014309 | Other | MI | DENTAMAX DR. HYDE |
| S1D8003860 | Other | MI | BCBS DENTAL |
| 1009797 | Other | MI | DR. HYDE GLOBAL |
| D143090 | Other | MI | BCBS DENTAL DR. HYDE |
| 2901014708 | Other | MI | DENTAMAX DR. GOFFAS |
| D147080 | Other | MI | BCBS DENTAL DR. GOFFAS |
National Provider Directory
National Provider DirectoryNPI 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
- Rebecca Elizabeth Merz, B.A.
- Esme Bianca-Balde Mester
- Stenisha Metcalf-McClain
- Metro Housing Development Corporation
- Metropolitan Housing Development Corporation
- Tina C. Metzger, PAC
- Danielle M Meyer, RN
- Rebekah Elizabeth Bierema Meyerhuber, MD
- MHDC Home Health Care Agency LLC
- Mi Hospice Holdings LLC
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.