Brittany Ky Eidson, D.D.S., FACS

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

2901600731 Issued in MI

Practice address

6255 Grand River Rd
Brighton, MI 48114-5323

Phone

(810) 522-4001

NPI assigned

Jun 29, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: beidson1126061@direct.hfhs.org

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.

• Truform Surgery, PLLC

  dba TruForm Surgery

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Brighton, MI
  • NPI 1861250235
  NPD Authorized official
• Truform Surgery, PLLC

  dba TruForm Surgery Lansing

  • Oral and Maxillofacial Surgery (Dentist)
  • Lansing, MI
  • NPI 1912881632
  NPD Authorized official

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

{
    "created_epoch": "1372464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1619317039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6255 GRAND RIVER RD",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481145323",
            "telephone_number": "810-522-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6255 GRAND RIVER RD",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481145323",
            "telephone_number": "810-522-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EIDSON",
        "first_name": "BRITTANY",
        "middle_name": "KY",
        "name_prefix": "Dr.",
        "credential": "D.D.S., FACS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-29",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "VA",
            "license": "1401417771",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "2901600731",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS039560",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "34699",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "MI",
            "license": "2901600731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline Griffin Edwards, M.D.
• Jesse Ehrlich, DPT
• Taylor Eicher
• Virginia Elizabeth Eick, DDS
• Adam Robert Eidson, D.D.S.
• Katherine Ajluni Eilers, LLMFT
• Mohamed El-Fouly, M.D.
• Fatima Elchawich, OD
• Maria Ellahie
• Tracey Jean Elliott, MT-BC

• Oral & Maxillofacial Surgery (D.M.D.) in Brighton, MI
• Providers in Brighton, MI by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.