Individual provider Active NPI

Kyle A Eurick, DDS

  • Oral and Maxillofacial Surgery (Dentist)
National Provider Identifier
1619381522
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
2901021214 Issued in MI
Practice address
PSC 808 Box 19
Fpo, AE 09618-0001
Phone
(081) 811-6000
NPI assigned
Jun 18, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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 2901021214 MI Primary

Addresses

Primary practice location

PSC 808 Box 19
Fpo, AE 09618-0001

Mailing address

11525 Highland Rd Ste 11
Hartland, MI 48353-2726
Phone (810) 632-4545

Other practice location 1

11525 Highland Rd Ste 11
Hartland, MI 48353-2726
Phone (810) 632-4545

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
I20260526002650 MI Practitioner - Oral Surgery 3678043163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
University of Michigan School of Dentistry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oral and Facial Surgeons of Michigan PCGroup PAC ID 4082526132, 5 clinicians

Practice addresses (Care Compare)

11525 Highland Rd
Suite 11
Hartland, MI 48353-2726
Phone (810) 632-4545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901021214MIMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Oral and Facial Surgeons of Michigan, PC Oral and Maxillofacial Surgery CurrentSince Jun 1, 2026 Accepting new patients

Locations

5885 S Main St
Ste 4
Clarkston, MI 48346
Phone (248) 625-6252

11525 Highland Rd
Ste 11
Hartland, MI 48353
Phone (810) 632-4545

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": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1619381522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11525 HIGHLAND RD STE 11",
            "city": "HARTLAND",
            "state": "MI",
            "postal_code": "483532726",
            "telephone_number": "810-632-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "MIL",
            "address_1": "PSC 808 BOX 19",
            "city": "FPO",
            "state": "AE",
            "postal_code": "096180001",
            "telephone_number": "081-811-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11525 Highland Rd Ste 11",
            "address_purpose": "LOCATION",
            "city": "Hartland",
            "state": "MI",
            "postal_code": "483532726",
            "country_code": "US",
            "telephone_number": "810-632-4545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EURICK",
        "first_name": "KYLE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-18",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "2901021214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.